Organization
HERMSEN HEALTH AND WELLNESS, PLLC
Active
Other names
HealthSource of Prior Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA MARIE HERMSEN D.C. (CHIEF MANAGER)
(920) 371-2702
Entity
Organization
Contact information
Practice address
6880 BOUDIN ST NE STE 230, PRIOR LAKE, MN 55372-1510
(952) 447-0985
(952) 447-0986
Mailing address
8791 KNOLLWOOD DR, EDEN PRAIRIE, MN 55347-1719
(952) 447-0985
(952) 447-0986
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5713
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043555055
INDIVIDUAL PROVIDER NPI
MN
01
—
350005214
MEDICARE PTAN
MN
Enumeration date
01/13/2015
Last updated
01/13/2015
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