Neubauer Chiropractic Health Center, PA
Organization Active NPI Chiropractor · Chaska, MN
NPI 1376832485 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1376832485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1972353 (MN)
- Legal business name
- NEUBAUER CHIROPRACTIC HEALTH CENTER, PA
- Practice address
- 122 Pioneer TRL
Chaska, MN 55318-1167 - Phone
- (952) 361-4844
- Fax
- (952) 368-7126
- NPI assigned
- Mar 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Sean Daniel Neubauer, D.C.
- Title
- Vice-President
- Phone
- (952) 442-9876
Other NPIs on the same Medicare enrollment 1
Practitioners 9
-
Emily Rayner Bottoms, D.C.
-
Kyle Hove, DC
-
Alecia Marfio, DC
-
Jeffrey David Sandquist, PA-C
-
Ashley Tolvstad, DC
-
Myhre D Dorman, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080408000089 | MN | Part B Supplier - Clinic/Group Practice | 4284711813 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Waconia, MN |
National Provider Directory
Locations
20 W Main St
Waconia, MN 55387
Phone (952) 442-9876
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1972353 | MN | Yes |
Addresses
Primary practice location
122 Pioneer TRL
Chaska, MN 55318-1167
Mailing address
20 W Main St
Waconia, MN 55387-1020
Phone (952) 442-9876
Other names
- DBA HealthSource of Chaska
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 Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.