Organization
BROADWAY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC FALENTIN DC (PRESIDENT)
(507) 359-4374
Entity
Organization
Contact information
Practice address
1510 N BROADWAY ST, NEW ULM, MN 56073-1235
(507) 359-4374
(507) 359-4686
Mailing address
1510 N BROADWAY ST, P.O. BOX 533, NEW ULM, MN 56073-1235
(507) 359-4374
(507) 359-4686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3154
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269K6FA
BLUE CROSS GROUP NUMBER
MN
Enumeration date
12/04/2006
Last updated
06/12/2012
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