Provider Demographics
NPI:1235293366
Name:STEVEN BACHMAN
Entity Type:Organization
Organization Name:STEVEN BACHMAN
Other - Org Name:LITCHFIELD CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-693-3655
Mailing Address - Street 1:126 N SIBLEY AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55355-2139
Mailing Address - Country:US
Mailing Address - Phone:320-693-3655
Mailing Address - Fax:320-693-5745
Practice Address - Street 1:126 N SIBLEY AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355-2139
Practice Address - Country:US
Practice Address - Phone:320-693-3655
Practice Address - Fax:320-693-5745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4C315LIOtherBLUE CROSS BLUE SHIELD
MNCO6870Medicare ID - Type Unspecified