Organization
ELITE CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASANDRA J MCFARLAND DC (OFFICIAL)
(952) 447-1565
Entity
Organization
Contact information
Practice address
6001 EGAN DR STE 110, SAVAGE, MN 55378-4910
(952) 447-1565
(952) 447-1566
Mailing address
6001 EGAN DR STE 110, SAVAGE, MN 55378-4910
(952) 447-1565
(952) 447-1566
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4346
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039064000
—
MN
01
—
4111508205
HSM
—
01
—
414M3EL
BLUE CROSS BLUE SHIELD MN
—
01
—
414M4MC
BLUE CROSS BLUE SHIELD MN
—
Enumeration date
10/16/2007
Last updated
10/14/2008
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