Virgina Rae Shinabarger, D.C.
Individual provider Active NPI Neurology Chiropractor · Maple Lake, MN
NPI 1831275809 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831275809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- License
- 2681 (MN)
- Practice address
- 121 Division
Maple Lake, MN 55358 - Phone
- (320) 963-6003
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 Division St W
Maple Lake, MN 55358-2469
Phone (320) 963-6003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071001000719 | MN | Practitioner - Chiropractic | 4284537630 | Practice locations: Saint Michael, MN; Maple Lake, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2681 | MN | MD | Sports Medicine (Emergency Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 2681 | MN | Yes |
Addresses
Primary practice location
121 Division
Maple Lake, MN 55358
Mailing address
121 Division
PO Box 221
Maple Lake, MN 55358
Other providers in Maple Lake, MN
- Maple Lake Recovery Center, Inc.
- Nicole Tripp DDS PLLC
- Ashley Marie Payne
- Dennis Leroy Quinlan
- Todd Calvin Seidl
- Total Care Chiropractic, P.a.
- Nicole Leigh Tripp
- Adrienne Wojciak
- Elizabeth Christian Zander
All providers in Maple Lake, MN · Neurology 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 Jul 8, 2007. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.