Organization
IN-LINE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL M HAALA DC (OWNER/PRESIDENT)
(507) 249-4900
Entity
Organization
Contact information
Practice address
512 2ND STREET, MORGAN, MN 56266-0103
(507) 249-4900
(507) 249-4901
Mailing address
512 2ND STREET, PO BOX 103, MORGAN, MN 56266-0103
(507) 249-4900
(507) 249-4901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4491
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264K2IN
BCBS
MN
01
—
637653300
MEDICAL ASSISTANCE ID
MN
01
—
663931
CHIROCARE ID
MN
Enumeration date
10/26/2006
Last updated
07/22/2009
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