Provider Demographics
NPI:1225184716
Name:BEILER, CHAD L (DC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:L
Last Name:BEILER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8451 E POINT DOUGLAS RD S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3331
Mailing Address - Country:US
Mailing Address - Phone:651-459-3171
Mailing Address - Fax:651-768-5059
Practice Address - Street 1:8451 E POINT DOUGLAS RD S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3331
Practice Address - Country:US
Practice Address - Phone:651-459-3171
Practice Address - Fax:651-768-5059
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U96044Medicare UPIN