Organization
CHASE FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GERALD CHASE D.C. (OWNER)
(218) 862-4325
Entity
Organization
Contact information
Practice address
104 MEMORY LANE, BATTLE LAKE, MN 56515
(218) 862-4325
(218) 862-4326
Mailing address
PO BOX 547, BATTLE LAKE, MN 56515-0547
(218) 862-4325
(218) 862-4326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4373
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC3782580
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
MN
Enumeration date
10/30/2015
Last updated
02/09/2016
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