MR. BLAINE M MACDONALD D.C.
NPI 1194942417
Chiropractor in Glencoe, MN

Active since April 19, 2007
804 12TH ST E, GLENCOE, MN 55336(320) 864-7636 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Blaine M Macdonald D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BLAINE M MACDONALD D.C. (NPI 1194942417) is an individual chiropractor in Glencoe, Minnesota, licensed in Minnesota (3343) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1194942417
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. BLAINE M MACDONALDCredential: D.C.
Location Address804 12TH ST EGlencoe, MN 55336-2203
Mailing Address804 12th St EGlencoe, MN 55336-2203
Sole ProprietorYes
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194942417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 3343
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
804 12TH ST E, Glencoe, MN 55336

Other Identifiers 3

Other189K2PEMN · Group Bcbs Provider Numbe
Other184R7MAMN · Bcbs Pin Number
Medicare UPINU80158

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
804 12TH ST E
GLENCOE, MN 55336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaine Macdonald's NPI number?

The NPI number for Blaine Macdonald is 1194942417. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Blaine Macdonald located?

Blaine Macdonald practices at 804 12th St E, Glencoe, MN 55336. The listed phone number is (320) 864-7636.

What is Blaine Macdonald's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Blaine Macdonald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.