Premier Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5886 Issued in MN

Legal business name

PREMIER CHIROPRACTIC LLC

Practice address

510 2ND St SE
Pine City, MN 55063-1706

Phone

(320) 629-8070

NPI assigned

Feb 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gretchen Blaufuss Skalicky, DC

Title

President

Phone

(320) 629-8070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393113600000",
    "number": "1679998983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 2ND ST SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631706",
            "telephone_number": "320-629-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 2ND ST SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631706",
            "telephone_number": "320-629-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-23",
        "last_updated": "2014-02-23",
        "status": "A",
        "authorized_official_last_name": "SKALICKY",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "BLAUFUSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-629-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine City Family Dental
• Pine Eye Associates, PA
• Michaela Janssen Pohl, MA, LPCC
• Jeffrey Pounds, LP
• Power Chairs and Scooter Store Medical Supply LLC
• Umair Rehman, MD
• Janice Reich, LMFT
• Linda M Richnofsky, LMFT
• Ringness Therapy & Consulting LLC
• Rise Up Psychological Services LLC

• Chiropractor in Pine City, MN
• Providers in Pine City, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.