Active NPI
Debra Jean Proechel, D.C.
- Nutrition Chiropractor
- Freeport, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 2403
- Practice address
- 103 3Rd Ave NE
Freeport, MN 56331-9017 - Phone
- (320) 836-7150
- Fax
- (320) 836-7162
- NPI assigned
- Jun 22, 2006
- Last updated
- Dec 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2403 | MN | Primary |
Addresses
Primary practice location
103 3Rd Ave NE
Freeport, MN 56331-9017
Mailing address
103 3Rd Ave NE
P.O. Box 309
Freeport, MN 56331-9017
Phone (320) 836-7150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 3Rd Ave NE
Freeport, MN 56331-0309
Phone (320) 836-7150
103 3Rd Ave NE
Freeport, MN 56331-9017
PO Box
Suite 309
Freeport, MN 56331-0309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health & Wellness Center, LLC | Nutrition | Current | Accepting new patients |
Locations
103 3rd Ave NE
Freeport, MN 56331
Phone (320) 237-2523
103 3rd Ave NE
#309
Freeport, MN 56331
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Nutrition Chiropractor
- Freeport, MN
- NPI 1043555840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1952347486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 3RD AVE NE",
"address_2": "P.O. BOX 309",
"city": "FREEPORT",
"state": "MN",
"postal_code": "563319017",
"telephone_number": "320-836-7150",
"fax_number": "320-836-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 3RD AVE NE",
"city": "FREEPORT",
"state": "MN",
"postal_code": "563319017",
"telephone_number": "320-836-7150",
"fax_number": "320-836-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROECHEL",
"first_name": "DEBRA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MN",
"license": "2403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.