Provider Demographics
NPI:1649500984
Name:BIG STONE CHIROPRACTIC HEALTH CENTER PC
Entity type:Organization
Organization Name:BIG STONE CHIROPRACTIC HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANCE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HAUGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-808-0452
Mailing Address - Street 1:16 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56278-1407
Mailing Address - Country:US
Mailing Address - Phone:320-487-1010
Mailing Address - Fax:320-487-1011
Practice Address - Street 1:16 2ND ST NW
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MN
Practice Address - Zip Code:56278-1407
Practice Address - Country:US
Practice Address - Phone:320-487-1010
Practice Address - Fax:320-487-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-09
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty