Provider Demographics
NPI:1184613226
Name:CHIRO-PLUS, P.A.
Entity type:Organization
Organization Name:CHIRO-PLUS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUDGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-637-8585
Mailing Address - Street 1:821 E BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56283-1801
Mailing Address - Country:US
Mailing Address - Phone:507-637-8585
Mailing Address - Fax:507-637-8649
Practice Address - Street 1:821 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:REDWOOD FALLS
Practice Address - State:MN
Practice Address - Zip Code:56283-1801
Practice Address - Country:US
Practice Address - Phone:507-637-8585
Practice Address - Fax:507-637-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN47179LEOtherBCBSMN
MN47179LEOtherBCBSMN