Organization Active NPI

In-Line Chiropractic, LLC

  • Chiropractor
  • Morgan, MN
National Provider Identifier
1962587121
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4491 Issued in MN
Legal business name
IN-LINE CHIROPRACTIC, LLC
Practice address
512 2ND Street
Morgan, MN 56266-0103
Phone
(507) 249-4900
Fax
(507) 249-4901
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Dr. Jill M Haala, DC
Title
Owner/President
Phone
(507) 249-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4491 MN Primary

Addresses

Primary practice location

512 2ND Street
Morgan, MN 56266-0103

Mailing address

512 2ND Street
PO Box 103
Morgan, MN 56266-0103
Phone (507) 249-4900

Other identifiers 3

IdentifierTypeStateIssuer
264K2INOtherMNBCBS
637653300OtherMNMEDICAL ASSISTANCE ID
663931OtherMNCHIROCARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000978 MN Part B Supplier - Clinic/Group Practice 9335127208 Receives reassigned benefits from 1 practitioner
Practice locations: Morgan, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1962587121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 2ND STREET",
            "address_2": "PO BOX 103",
            "city": "MORGAN",
            "state": "MN",
            "postal_code": "562660103",
            "telephone_number": "507-249-4900",
            "fax_number": "507-249-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 2ND STREET",
            "city": "MORGAN",
            "state": "MN",
            "postal_code": "562660103",
            "telephone_number": "507-249-4900",
            "fax_number": "507-249-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-LINE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "HAALA",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "507-249-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "264K2IN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE ID",
            "identifier": "637653300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROCARE ID",
            "identifier": "663931",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.