Blonigan Christianson Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2107 Issued in MN

Legal business name

BLONIGAN CHRISTIANSON CHIROPRACTIC

Practice address

1101 S 1St St
Willmar, MN 56201

Phone

(320) 235-0515

NPI assigned

Feb 21, 2007

Last updated

Jan 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan M Erickson, MBA

Title

Bus Manager

Phone

(320) 235-0515

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1932244290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 1ST ST",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "56201",
            "telephone_number": "320-235-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 1ST ST",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "56201",
            "telephone_number": "320-235-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLONIGAN CHRISTIANSON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUS MANAGER",
        "authorized_official_telephone_number": "320-235-0515",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2107",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "47039CH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C07239",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "3C400BO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bile Abdi Bile
• Verdell Allen Bjerketvedt, CRNA
• Cynthia S Bjur, MA, CCC-A
• Erica L Black, LMFT
• Mary Alix Blick, L.AC.
• Joan M Blonigan Christianson, DC
• Jasmine Djenaba Blue, LICSW
• Collin John Bohlke
• Thomas Scott Boike, ATC
• Boline Fenstra Chiropractic PC

• Chiropractor in Willmar, MN
• Providers in Willmar, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.