Provider Demographics
NPI:1588715544
Name:ABEL CHIROPRACTIC ASSOCIATES, PA
Entity type:Organization
Organization Name:ABEL CHIROPRACTIC ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ABEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-352-1201
Mailing Address - Street 1:710 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378-1645
Mailing Address - Country:US
Mailing Address - Phone:320-352-1201
Mailing Address - Fax:320-352-3970
Practice Address - Street 1:710 MAIN ST S
Practice Address - Street 2:
Practice Address - City:SAUK CENTRE
Practice Address - State:MN
Practice Address - Zip Code:56378-1645
Practice Address - Country:US
Practice Address - Phone:320-352-1201
Practice Address - Fax:320-352-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2760 & 2868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC04807OtherMEDICARE ID-CLINIC PROV#
MN0H113ABOtherBLUE CROSS BLUE SHIELD