A. J. Linn Chiropractic LLC
Organization Active NPI Chiropractor · Zimmerman, MN
NPI 1699075366 · NPPES record last updated Nov 12, 2014
Key facts
- NPI
- 1699075366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4397 (MN)
- Legal business name
- A. J. LINN CHIROPRACTIC LLC
- Practice address
- 26144 3Rd St E
Zimmerman, MN 55398-9305 - Phone
- (763) 856-8500
- Fax
- (763) 856-8502
- NPI assigned
- Oct 28, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Jon Linn, DC
- Title
- Owner
- Phone
- (763) 856-8500
Practitioners 1
-
Andrew Jon Linn, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110214000639 | MN | Part B Supplier - Clinic/Group Practice | 7517147143 |
Receives reassigned benefits from 1 practitioner Practice locations: Zimmerman, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4397 | MN | Yes |
Addresses
Primary practice location
26144 3Rd St E
Zimmerman, MN 55398-9305
Mailing address
PO Box 377
Zimmerman, MN 55398-0377
Phone (763) 856-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250033000 | Medicaid | MN | |
| 1DD41AJ | Other | MN | BCBSMN |
| P00087309 | Other | MN | RAIL ROAD MEDICARE |
Other providers in Zimmerman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2014. 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.