Individual
DR. JOHN GERALD CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CNP, DC
Contact information
Practice address
104 MEMORY LANE, BATTLE LAKE, MN 56515
(218) 862-4325
Mailing address
PO BOX 547, BATTLE LAKE, MN 56515-0547
(218) 862-4325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5653
MN
111N00000X
Chiropractor
7122
AZ
111N00000X
Chiropractor
B00876
NV
363LF0000X
Family Nurse Practitioner
Primary
CNP4373
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC3782580
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
MN
Enumeration date
08/02/2006
Last updated
03/17/2018
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