Organization
SOUTHWEST CHIROPRACTIC CLINIC OF WORTHINGTON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB JOHN ROETHLER D.C. (PRESIDENT, CHIROPRACTOR)
(507) 376-9663
Entity
Organization
Contact information
Practice address
1301 DIAGONAL RD, WORTHINGTON, MN 56187-1114
(507) 376-9663
(507) 376-9663
Mailing address
1301 DIAGONAL RD, WORTHINGTON, MN 56187-1114
(507) 376-9663
(507) 376-9663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072H0SO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/08/2007
Last updated
08/22/2020
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