Organization
FAMILY CHIROPRACTIC OF SHAKOPEE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LESLIE HARDER D.C. (PRESIDENT)
(952) 445-0679
Entity
Organization
Contact information
Practice address
1221 4TH AVE E, SUITE 120, SHAKOPEE, MN 55379-1681
(952) 445-0679
(952) 445-6979
Mailing address
1221 4TH AVE E, SUITE 120, SHAKOPEE, MN 55379-1681
(952) 445-0679
(952) 445-6979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3128
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C223FA
BCBS PROVIDER CLINIC NO
MN
05
—
512718100
—
MN
Enumeration date
02/16/2010
Last updated
02/22/2010
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