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
PLCC, LTD
Active
Organization
PLCC, LTD
Active
Other names
Prior Lake Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LEONARD STICHA D.C (CEO)
(952) 447-8980
Entity
Organization
Contact information
Practice address
14020 HIGHWAY 13 S, SUITE 650, SAVAGE, MN 55378-7100
(952) 447-8980
(952) 447-8941
Mailing address
14020 HIGHWAY 13 S, SUITE 650, SAVAGE, MN 55378-7100
(952) 447-8980
(952) 447-8941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69944580
—
MN
01
—
75172PR
BLUE CROSS BLUE SHILED
MN
Enumeration date
11/07/2006
Last updated
08/22/2020
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