Delray James Mathiason, D.C.
Individual provider Active NPI Chiropractor · Long Prairie, MN
NPI 1497839187 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1497839187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3344 (MN)
- Practice address
- 18 2ND St N
Long Prairie, MN 56347-1118 - Phone
- (320) 732-3317
- Fax
- (320) 732-3374
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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 |
|---|---|---|---|
| 604 | ND | MD | Clinical Psychologist |
| 3344 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Carmen Marketing | Past |
Accepting new patients | |
| Vistad Chiropractic Clinic PA | Chiropractor | Past | Accepting new patients |
| Ruth Wingeier, CNM, LLC | Past | Accepting new patients | |
| Long Lake Higgins, PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3344 | MN | Yes |
Addresses
Primary practice location
18 2ND St N
Long Prairie, MN 56347-1118
Mailing address
18 2ND St N
Long Prairie, MN 56347-1118
Phone (320) 732-3317
Other providers in Long Prairie, MN
- Long Prairie Dental Clinic LLC
- Long Prairie Grey Eagle Public Schools District 2753
- Long Prairie Midwives, LLC
- Long Prairie Project Associates LLC
- Jennifer Marie Love
- Kelly Lee Mattson
- Minnesota Eyecare Network, Inc
- Minnesota Eyecare Network, Inc.
- Mark William Mohr
- John P Nei
All providers in Long Prairie, MN · Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.