Alan Joseph Ebbers, D.C
Individual provider Active NPI Chiropractor · Worthington, MN
NPI 1679656292 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679656292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2649 (MN)
- Practice address
- 1820 Oxford St
Worthington, MN 56187-1866 - Phone
- (507) 372-4400
- Fax
- (507) 376-4624
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Worthington Chiropractic Clinic PA
Practice addresses (Care Compare)
909 4TH Ave
Suite C
Worthington, MN 56187-2366
Phone (507) 372-4400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000142 | MN | Practitioner - Chiropractic | 7618917410 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2649 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worthington Chiropractic Clinic PA | Chiropractor | Current |
Accepting new patients |
Locations
1820 Oxford St
Worthington, MN 56187
Phone (507) 372-4400
909 4th Ave
Ste C
Worthington, MN 56187
Phone (507) 372-2155
Interoperability endpoints
- alan.ebbers.1@15839.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2649 | MN | Yes |
Addresses
Primary practice location
1820 Oxford St
Worthington, MN 56187-1866
Mailing address
1820 Oxford St
Worthington, MN 56187-1866
Phone (507) 372-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852728800 | Medicaid | MN |
Other providers in Worthington, MN
- David Dragas
- Diane Kaye Dunn
- Krzysztof Piotr Dygulski
- E.T. McNiece DDS, P.a.
- Dale Keith Eads
- Ecumen
- Fernando Escobar
- Firas A Farra
- Melissa Ann Fellows
- John Patrick Finucane
All providers in Worthington, 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 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.