Organization
BIRCH LAKE CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT ERICKSON D.C. (OWNER)
(651) 429-5329
Entity
Organization
Contact information
Practice address
4635 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 429-5329
(651) 429-2759
Mailing address
4635 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3300
(651) 429-5329
(651) 429-2759
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
751
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231600
ACN
—
01
—
273GOBI
BCBS - CLINIC #
—
01
—
6763511-00
MHCP
—
Enumeration date
11/24/2006
Last updated
03/17/2010
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