Nolan Brent Atchison, D.C.
Individual provider Active NPI Chiropractor · Chaska, MN
NPI 1376828442 · NPPES record last updated Mar 6, 2013
Key facts
- NPI
- 1376828442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5566 (MN)
- Practice address
- 682 Koehnen Dr
Chaska, MN 55318-2517 - Phone
- (701) 400-8044
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5566 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| IHS Regency PC | Chiropractor | Past |
Accepting new patients |
| IHS Midwest PC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5566 | MN | Yes |
Addresses
Primary practice location
682 Koehnen Dr
Chaska, MN 55318-2517
Mailing address
682 Koehnen Dr
Chaska, MN 55318-2517
Phone (701) 400-8044
Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.