Corbett Chiropractic and Health Enhancement, PA
Organization Active NPI Chiropractor · Northfield, MN
NPI 1497951610 · NPPES record last updated Nov 10, 2014
Key facts
- NPI
- 1497951610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3149 (MN)
- Legal business name
- CORBETT CHIROPRACTIC AND HEALTH ENHANCEMENT, PA
- Practice address
- 1605 Heritage Dr
Suite a
Northfield, MN 55057-3265 - Phone
- (507) 645-8846
- Fax
- (507) 645-4145
- NPI assigned
- Jun 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Corbett
- Title
- Chiropractor Owner
- Phone
- (507) 645-8846
Practitioners 1
-
Daniel Grun Corbett, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050822001326 | MN | Part B Supplier - Clinic/Group Practice | 6901837764 |
Receives reassigned benefits from 1 practitioner Practice locations: Northfield, MN |
National Provider Directory
Locations
1020 Highway 3 S
Northfield, MN 55057
Phone (507) 645-8846
1605 Heritage Dr
Ste A
Northfield, MN 55057
Phone (507) 645-8846
423 Division St S
Northfield, MN 55057
Phone (507) 645-8846
1605 Heritage Dr
#A
Northfield, MN 55057
Phone (507) 645-8846
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3149 | MN | Yes |
Addresses
Primary practice location
1605 Heritage Dr
Suite a
Northfield, MN 55057-3265
Mailing address
1605 Heritage Dr
Suite a
Northfield, MN 55057-3265
Phone (507) 645-8846
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2014. 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.