Exponential Chiropractic Healing Center PLLC
Organization Active NPI Chiropractor · Saint Joseph, MN
NPI 1689156358 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1689156358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1386 (MN)
- Legal business name
- EXPONENTIAL CHIROPRACTIC HEALING CENTER PLLC
- Practice address
- 103 College Ave N
Saint Joseph, MN 56374-9801 - Phone
- (320) 363-4573
- Fax
- (320) 363-1314
- NPI assigned
- Aug 30, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian S Koltes
- Title
- Owner
- Phone
- (320) 363-4573
Practitioners 2
-
Brian S Koltes, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190218002032 | MN | Part B Supplier - Clinic/Group Practice | 3173861176 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Joseph, MN |
National Provider Directory
Locations
103 College Ave N
Saint Joseph, MN 56374
Phone (320) 363-4573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1386 | MN | Yes |
Addresses
Primary practice location
103 College Ave N
Saint Joseph, MN 56374-9801
Mailing address
103 College Ave N
Saint Joseph, MN 56374-0018
Phone (320) 363-4573
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818825400 | Medicaid | MN |
Other providers in Saint Joseph, MN
- Amanda J Dircks
- Jean Marie Donnay
- Dr Joseph R Styles /Curtis F Cotton PA
- Dr. Kelsey Milbert, P.a.
- Essilor Laboratories of America, Inc
- Harmony Behavioral Health LLC
- Melinda Marie Hellermann
- Emily Heying
- Susan A. Heying
- Carol L Holton
All providers in Saint Joseph, 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 May 13, 2024. 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.