Lavern A Phelps Jr., D.C.
Individual provider Active NPI Neurology Chiropractor · Ely, MN
NPI 1659424919 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659424919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- License
- 2697 (MN)
- Practice address
- 22 E Chapman St
Ely, MN 55731-1228 - Phone
- (218) 365-4044
- Fax
- (218) 365-3249
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Lakes Community Health Center Inc
Practice addresses (Care Compare)
7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024001584 | WI | Practitioner - Chiropractic | 6103869276 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2469 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Past |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Past | Accepting new patients |
Locations
300 Main St W
Ashland, WI 54806
Phone (715) 685-2200
15735 W US Highway 63
Hayward, WI 54843
115 5th Ave N
Hurley, WI 54534
Phone (715) 329-1288
7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 2697 | MN | Yes |
Addresses
Primary practice location
22 E Chapman St
Ely, MN 55731-1228
Mailing address
22 E Chapman St
Ely, MN 55731-1228
Phone (218) 365-4044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231027 | Other | MN | CHIROCARE |
| 62523PL | Other | MN | BCBSMN |
Other providers in Ely, MN
- Rosa Oesterreich
- Ol-US Ely, LLC
- Jacob Meyer Osell
- Michael Warren Pettinelli
- Phelps Chiropractic P.a.
- Sam P Rice
- Roth Chiropractic Clinic LTD
- Lars Lyle Roth
- Robert L Savereide
- Joseph Michael Schwinghamer
All providers in Ely, MN · Neurology 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 8, 2007. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.