Active NPI
In-Line Chiropractic, LLC
- Chiropractor
- Morgan, MN
National Provider Identifier
1962587121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4491
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264K2IN | Other | MN | BCBS |
| 637653300 | Other | MN | MEDICAL ASSISTANCE ID |
| 663931 | Other | MN | CHIROCARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Morgan, MN
- NPI 1689644916
-
- Chiropractor
- Sleepy Eye, MN
- NPI 1871573162
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.