Paige Brabandt, DC

Individual provider Active NPI Chiropractor · Ham Lake, MN

NPI 1821815275 · NPPES record last updated Sep 25, 2024

Key facts

NPI
1821815275
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
7265 (MN)
Practice address
13352 Aberdeen St NE
Ham Lake, MN 55304-6877
Phone
(763) 786-5585
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7265MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frach Chiropractic LLC Chiropractor Past
since Mar 5, 2017
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7265 MN Yes

Addresses

Primary practice location

13352 Aberdeen St NE
Ham Lake, MN 55304-6877

Mailing address

254 9TH Ave N Apt 202
Minneapolis, MN 55401-2750
Phone (701) 833-4474

Other providers in Ham Lake, MN

All providers in Ham Lake, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.