Provider Demographics
NPI:1376612259
Name:DAY, REBECCA M (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:M
Last Name:DAY
Suffix:
Gender:F
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:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:MINNEOTA
Mailing Address - State:MN
Mailing Address - Zip Code:56264
Mailing Address - Country:US
Mailing Address - Phone:507-872-6748
Mailing Address - Fax:
Practice Address - Street 1:108 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MINNEOTA
Practice Address - State:MN
Practice Address - Zip Code:56264
Practice Address - Country:US
Practice Address - Phone:507-872-6748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN71686DAOtherBCBSMN
MN21868OtherSIOUX VALLEY HEALTH PLAN
U24834Medicare UPIN