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Organization

BAXTER CHIROPRACTIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN DION JOBE DC (CEO)
(218) 454-0990
Entity
Organization

Contact information

Practice address
13782 BLUESTEM CT, STE 100, BAXTER, MN 56425-8776
(218) 454-0990
(218) 829-2875
Mailing address
13782 BLUESTEM CT, STE. 100, BAXTER, MN 56425-8776
(218) 454-0990
(218) 829-2875

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3690
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260323962
FEDERAL TAX
MN
Enumeration date
06/20/2007
Last updated
03/26/2015
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