Provider Demographics
NPI:1760673453
Name:CHIROPRACTIC FAMILY CLINIC, P.A.
Entity Type:Organization
Organization Name:CHIROPRACTIC FAMILY CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:PARRISH
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:SKRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-344-8300
Mailing Address - Street 1:120 N AUGUSTA CT STE 105
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-7719
Mailing Address - Country:US
Mailing Address - Phone:507-344-8300
Mailing Address - Fax:507-344-8334
Practice Address - Street 1:120 N AUGUSTA CT STE 105
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-7719
Practice Address - Country:US
Practice Address - Phone:507-344-8300
Practice Address - Fax:507-344-8334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
108K0CHOtherBCBSMN
MN108K1SKOtherBCBSMN
MN108K1SKOtherBCBSMN