Eagle Valley Chiropractic LLC

Organization Preferred Provider Organization · NPI 1699054213

Eagle Valley Chiropractic LLC is a Preferred Provider Organization in Wabasha, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2011.

Licensed in: MN, WI
In the registry since: 2011
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

176 Pembroke Ave S
Wabasha, MN 55981-1243
Phone: (651) 565-4863
Fax: (651) 565-4893

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary)	Taxonomy 305S00000X · Licence 5533 (MN)
Preferred Provider Organization	Taxonomy 305R00000X · Licence 4754-012 (WI)

Record details

NPI number	1699054213
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jessin Skoug — Owner · (651) 565-4863
NPI enumerated	August 12, 2011
Last updated in NPPES	August 12, 2011
Mailing address	176 Pembroke Ave S, Wabasha, MN 55981-1243