Organization
GRAVON'S NATURAL CHIROPRACTIC CENTER P A
Active
Parent organization
GRAVONS NATURAL CHIROPRACTIC CENTER P A
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAVONS NATURAL CHIROPRACTIC CENTER P A
Authorized official
MS. LORI SCHNIEDER (INSURANCE MGR)
(507) 376-9771
Entity
Organization
Contact information
Practice address
1024 OXFORD ST, WORTHINGTON, MN 56187-1681
(507) 376-9771
(507) 376-9798
Mailing address
PO BOX 396, WORTHINGTON, MN 56187-0396
(507) 376-9771
(507) 376-9798
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2237
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350048116
RR MEDICARE PROVIDER NO
MN
05
—
548527400
—
MN
01
—
61964GR
BCBS PROVIDER NUMBER
MN
Enumeration date
11/07/2006
Last updated
01/18/2025
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