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Organization
PRAIRIE FAMILY & SPORTS CHIROPRACTIC PA
Active
Organization
PRAIRIE FAMILY & SPORTS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD MICHAEL EISCHENS DC (OWNER)
(507) 583-2271
Entity
Organization
Contact information
Practice address
344 E MAIN ST, BLOOMING PRAIRIE, MN 55917-0395
(507) 583-2271
(507) 583-0040
Mailing address
344 E MAIN ST, BLOOMING PRAIRIE, MN 55917-0395
(507) 583-2271
(507) 583-0040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C688PR
BLUE CROSS BLUE SHIELD OF MN
MN
05
—
815318300
—
MN
Enumeration date
06/27/2008
Last updated
06/27/2008
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