Mary Alix Blick, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1399 Issued in MN

Practice address

1550 Willmar Ave SE
Suite B
Willmar, MN 56201-4762

Phone

(320) 235-6320

Fax

(320) 235-2542

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duininck Chiropractic, PA

  • Chiropractor
  • Willmar, MN
  • NPI 1568503670
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1407188519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 WILLMAR AVE SE",
            "address_2": "SUITE B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014762",
            "telephone_number": "320-235-6320",
            "fax_number": "320-235-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WILLMAR AVE SE",
            "address_2": "SUITE B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014762",
            "telephone_number": "320-235-6320",
            "fax_number": "320-235-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICK",
        "first_name": "MARY",
        "middle_name": "ALIX",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L Beyerl, FNP-BC
• Bile Abdi Bile
• Verdell Allen Bjerketvedt, CRNA
• Cynthia S Bjur, MA, CCC-A
• Erica L Black, LMFT
• Blonigan Christianson Chiropractic
• Joan M Blonigan Christianson, DC
• Jasmine Djenaba Blue, LICSW
• Collin John Bohlke
• Thomas Scott Boike, ATC

• Acupuncturist in Willmar, MN
• Providers in Willmar, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.