Provider Demographics
NPI:1841497146
Name:DR. WILLIAM R BESCHNETT, PA
Entity type:Organization
Organization Name:DR. WILLIAM R BESCHNETT, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:BESCHNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-835-2425
Mailing Address - Street 1:212 15TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASECA
Mailing Address - State:MN
Mailing Address - Zip Code:56093-2778
Mailing Address - Country:US
Mailing Address - Phone:507-835-2425
Mailing Address - Fax:507-835-5818
Practice Address - Street 1:212 15TH AVE NE
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-2778
Practice Address - Country:US
Practice Address - Phone:507-835-2425
Practice Address - Fax:507-835-5818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN002430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC06789Medicare ID - Type Unspecified