Organization Active NPI

Lee-Fuhr Chiropractic Clinic PA

  • Chiropractor
  • Willmar, MN
National Provider Identifier
1700919032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2415 Issued in MN
Legal business name
LEE-FUHR CHIROPRACTIC CLINIC PA
Practice address
180 45TH Ave SE
Willmar, MN 56201-9665
Phone
(320) 235-5444
Fax
(320) 231-0937
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael W Youngquist, DCNPI 1033293014
Title
President
Phone
(320) 235-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2415 MN Primary

Addresses

Primary practice location

180 45TH Ave SE
Willmar, MN 56201-9665

Mailing address

PO Box 1536
Willmar, MN 56201-1536
Phone (320) 235-5444

Other identifiers 2

IdentifierTypeStateIssuer
230959OtherMNACN GROUP
45160LEOtherMNBLUECROSSBLUESHIELD OF MN

National Provider Directory

National Provider Directory

Locations

310 1st St S
Willmar, MN 56201
Phone (320) 235-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700919032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562011536",
            "telephone_number": "320-235-5444",
            "fax_number": "320-231-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 45TH AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019665",
            "telephone_number": "320-235-5444",
            "fax_number": "320-231-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE-FUHR CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNGQUIST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-235-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "230959",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF MN",
            "identifier": "45160LE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.