Nicole Qual, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5247 Issued in MN

Practice address

116 4TH Ave N
Crookston, MN 56716-1312

Phone

(218) 470-2020

Fax

(217) 470-2020

NPI assigned

Aug 26, 2008

Last updated

Oct 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Active Health Chiropractic

  dba Active Health Family Chiropractic

  • Chiropractor
  • Crookston, MN
  • NPI 1578867727
  NPD (past) Authorized official
• Active Health Chiropractic PLLC

  dba Active Health Family Chiropractic

  • Chiropractor
  • Crookston, MN
  • NPI 1174770689
  Authorized official Same address or phone

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1629225131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 4TH AVE N",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161312",
            "telephone_number": "218-470-2020",
            "fax_number": "218-470-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 4TH AVE N",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161312",
            "telephone_number": "218-470-2020",
            "fax_number": "217-470-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAL",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "807",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polk County Auditor (Polk County Public Health)
• Polk County Social Services
• Polk-Norman-Mahnomen Community Health Board
• Prairie Psychological Services PA
• Breanna J. Privratsky, PA-C
• Norma Lynette Quam
• Jacqueline Kay Ramsey
• Jessica Jo Randberg
• Gregory H Reese, C.R.N.A.
• Paul L Reese, PA

• Chiropractor in Crookston, MN
• Providers in Crookston, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.