Provider Demographics
NPI:1396864732
Name:ABELER CHIROPRACTIC OF ANDOVER, P.A.
Entity Type:Organization
Organization Name:ABELER CHIROPRACTIC OF ANDOVER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ABELER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-754-2500
Mailing Address - Street 1:2705 BUNKER LAKE BLVD NW
Mailing Address - Street 2:SUITE 112
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-3784
Mailing Address - Country:US
Mailing Address - Phone:763-754-2500
Mailing Address - Fax:763-755-3852
Practice Address - Street 1:2705 BUNKER LAKE BLVD NW
Practice Address - Street 2:SUITE 112
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-3784
Practice Address - Country:US
Practice Address - Phone:763-754-2500
Practice Address - Fax:763-755-3852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2048111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN376327700Medicaid
MN60G38ABOtherBCBS
350002621Medicare UPIN
MN376327700Medicaid
MN376327700Medicaid