Jerry L Wetterling, DC
Individual provider Active NPI Chiropractor · St Joseph, MN
NPI 1962587402 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962587402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1386 (MN)
- Practice address
- 103 N College Ave
St Joseph, MN 56374-0237 - Phone
- (320) 363-4573
- Fax
- (320) 363-1314
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1386 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exponential Chiropractic Healing Center PLLC | Chiropractor | Current |
Accepting new patients |
Locations
103 College Ave N
Saint Joseph, MN 56374
Phone (320) 363-4573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1386 | MN | Yes |
Addresses
Primary practice location
103 N College Ave
St Joseph, MN 56374-0237
Mailing address
PO Box 237
St Joseph, MN 56374-0237
Phone (320) 363-4573
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230921 | Other | MN | CHIROCARE |
| 0195 | Other | MN | HEALTH SERVICES MNGMT |
Other providers in St Joseph, MN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.