Organization
HICKORY HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VINCENT OTTOMEYER DC (OWNER)
(651) 226-8338
Entity
Organization
Contact information
Practice address
168 LAKE ST S STE C, FOREST LAKE, MN 55025-4401
(651) 226-8338
Mailing address
23315 ITASCA AVE N, FOREST LAKE, MN 55025-8277
(651) 226-8338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51352700
—
MN
Enumeration date
02/03/2020
Last updated
02/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us