Provider Demographics
NPI:1427282268
Name:THE HEALTH ENHANCEMENT CENTERS, P.A.
Entity type:Organization
Organization Name:THE HEALTH ENHANCEMENT CENTERS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QUENTIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FIXEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-532-2655
Mailing Address - Street 1:104 W REDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-1853
Mailing Address - Country:US
Mailing Address - Phone:507-532-2655
Mailing Address - Fax:507-532-2951
Practice Address - Street 1:104 W REDWOOD ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1853
Practice Address - Country:US
Practice Address - Phone:507-532-2655
Practice Address - Fax:507-532-2951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN587492100Medicaid
MN587492100Medicaid