Organization
RAY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANON ROBERT RAY DC (CEO)
(218) 773-8403
Entity
Organization
Contact information
Practice address
418 DEMERS AVE, EAST GRAND FORKS, MN 56721-1836
(218) 773-8403
(218) 773-9812
Mailing address
418 DEMERS AVE, EAST GRAND FORKS, MN 56721-1836
(218) 773-8403
(218) 773-9812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3582
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71D82RA
BCBS MN
MN
01
—
89332
CHIRO CARE
MN
Enumeration date
11/06/2006
Last updated
11/29/2007
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