Individual
DR. BRENT DAVID VENABLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
161 19TH ST S STE 101, SARTELL, MN 56377-2555
(320) 257-0360
(320) 253-9968
Mailing address
161 19TH ST S, STE 101, SARTELL, MN 56377-4579
(320) 203-7115
(320) 257-9968
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3592
MN
171100000X
Acupuncturist
434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284T4VE
BCBS
MN
01
—
350055945
RAIL ROAD MEDICARE
MN
05
—
822520600
—
MN
Enumeration date
06/22/2005
Last updated
04/08/2019
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