Mell Chiropractic, LLC
Organization Active NPI Chiropractor · Caledonia, MN
NPI 1821395484 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1821395484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5392 (MN)
- Legal business name
- MELL CHIROPRACTIC, LLC
- Practice address
- 126 W Main St
Caledonia, MN 55921-1109 - Phone
- (507) 725-8500
- NPI assigned
- Feb 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Geoffrey Joseph Mell, DC
- Title
- Chiropractor
- Phone
- (507) 725-8500
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110421000244 | MN | Part B Supplier - Clinic/Group Practice | 2466637202 |
Receives reassigned benefits from 1 practitioner Practice locations: Caledonia, MN |
National Provider Directory
Locations
126 W Main St
Caledonia, MN 55921
Phone (507) 725-8500
101 S Kingston St
Ste A
Caledonia, MN 55921
Phone (507) 725-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5392 | MN | Yes |
Addresses
Primary practice location
126 W Main St
Caledonia, MN 55921-1109
Mailing address
126 W Main St
Caledonia, MN 55921-1109
Phone (507) 725-8500
Other providers in Caledonia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. 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.