Provider Demographics
NPI:1336884550
Name:BABCOCK, ALEXANDER (DC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:BABCOCK
Suffix:
Gender:
Credentials:DC
Other - Prefix:DR
Other - First Name:ALEXANDER
Other - Middle Name:JACK
Other - Last Name:BABCOCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:32 32ND AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6392
Mailing Address - Country:US
Mailing Address - Phone:320-251-1080
Mailing Address - Fax:
Practice Address - Street 1:32 32ND AVE S
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-6392
Practice Address - Country:US
Practice Address - Phone:320-251-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6975111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor