Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MARTY GULLICKSON CHIROPRACTIC
Active
Organization
MARTY GULLICKSON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY THOMAS GULLICKSON DC (OWNER)
(952) 927-6639
Entity
Organization
Contact information
Practice address
17 10TH AVE S, HOPKINS, MN 55343
(952) 927-6639
(952) 927-0178
Mailing address
17 10TH AVE S, HOPKINS, MN 55343
(952) 927-6639
(952) 927-0178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2596
MN
111N00000X
Chiropractor
2937
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42G85MA
BLUE CROSS
MN
05
—
620071100
—
MN
Enumeration date
11/15/2006
Last updated
11/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up