Organization
EAST CENTRAL CHIROPRACTIC CLINIC, P.A.
Active
Other names
Total Health Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DUANE NYBLOM D.C. (PRESIDENT)
(763) 689-1110
Entity
Organization
Contact information
Practice address
911 MAIN ST S, CAMBRIDGE, MN 55008-2125
(763) 689-1110
(763) 552-1110
Mailing address
911 MAIN ST S, CAMBRIDGE, MN 55008-2125
(763) 689-1110
(763) 552-1110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6C485EA
CLINIC BCBS NUMBER
MN
Enumeration date
01/22/2007
Last updated
10/19/2007
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