Individual
CHARLES R BIGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1530 ROWE AVE, WORTHINGTON, MN 56187-9700
(507) 372-2232
(507) 372-7326
Mailing address
1530 ROWE AVE, WORTHINGTON, MN 56187-9700
(507) 372-2232
(507) 372-7326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03105
IA
225100000X
Physical Therapist
0469
SD
225100000X
Physical Therapist
Primary
2284
MN
225100000X
Physical Therapist
483
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0469.1
DAKOTACARE
MN
01
—
0469.1
DAKOTACARE
SD
01
—
23143
SIOUX VALLEY HEALTH PLANS
MN
01
—
25806
ARAZ
MN
01
—
25806
ARAZ
SD
01
—
3110
AVERA HEALTH PLANS
MN
01
—
4998544
BLUE CROSS BLUE SHIELD SD
SD
05
—
5830112
—
SD
05
—
5830113
—
SD
05
—
5830115
—
SD
01
—
64-03580
MEDICA
MN
01
—
64-03864
MEDICA
MN
01
—
64-04206
MEDICA
SD
01
—
64-04224
MEDICA
MN
01
—
64-05334
MEDICA
MN
01
—
64-08036
MEDICA
SD
01
—
64-08037
MEDICA
SD
01
—
64-08038
MEDICA
MN
01
—
8B711BI
BLUE CROSS BLUE SHIELD MN
MN
01
—
8B711BI
BLUE CROSS BLUE SHIELD MN
SD
Enumeration date
09/23/2005
Last updated
07/08/2007
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