Organization
FUNCTIONAL CHIROPRACTIC REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN MARTIN HANSEN (OWNER)
(605) 380-4364
Entity
Organization
Contact information
Practice address
1901 MADISON AVE STE 120, MANKATO, MN 56001-6267
(605) 380-4364
Mailing address
1901 MADISON AVE STE 120, MANKATO, MN 56001-6267
(605) 380-4364
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326676412
NATIONAL PROVIDER IDENTIFIER
MN
Enumeration date
03/14/2020
Last updated
04/01/2020
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