West Concord Chiropractic & Wellness, PLLC
Organization Active NPI Chiropractor · West Concord, MN
NPI 1700625217 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1700625217
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- WEST CONCORD CHIROPRACTIC & WELLNESS, PLLC
- Practice address
- 302 W Main St
West Concord, MN 55985-2068 - Phone
- (507) 527-2201
- Fax
- (507) 527-2202
- NPI assigned
- May 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Michaela Neuzil
- Title
- Doctor of Chiropractic
- Phone
- (507) 450-0799
Practitioners 2
-
Michaela Neuzil, D.C.
-
Jeffery James Maness, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240820003598 | MN | Part B Supplier - Clinic/Group Practice | 6204374374 |
Receives reassigned benefits from 1 practitioner Practice locations: West Concord, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
302 W Main St
West Concord, MN 55985-2068
Mailing address
PO Box 256
West Concord, MN 55985-0256
Phone (507) 527-2001
Other names
- West Concord Chiropractic
Other providers in West Concord, MN
- City of West Concord
- Jeffery James Maness
- Michaela Neuzil
- Benjamin Lowell Quimby
- Bethany Lynn Reyant
- West Concord Public Charter School
All providers in West Concord, 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 Aug 23, 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.