Comfort Wagner, D.C.
Individual provider Active NPI Chiropractor · Corcoran, MN
NPI 1790225720 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1790225720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6324 (MN)
- Practice address
- 20010 75TH Ave N
Corcoran, MN 55340-9459 - Phone
- (763) 416-4878
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Chiropractic Care PLLC | Chiropractor | Current |
Accepting new patients |
| Institute for Orthopedics & Chiropractic, PLLC | Chiropractor | Past |
Accepting new patients |
| Corcoran Hamel Chiropractic , P.a. | Past |
Accepting new patients |
Locations
20010 75th Ave N
Corcoran, MN 55340
Phone (763) 416-4878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6324 | MN | Yes |
Addresses
Primary practice location
20010 75TH Ave N
Corcoran, MN 55340-9459
Mailing address
20010 75TH Ave N
Corcoran, MN 55340-9459
Phone (763) 416-4878
Other providers in Corcoran, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.