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PEQUOT LAKES CHIROPRACTIC AND SPORTS INJURY CENTER P.A
NPI 1376602656
Chiropractor in Pequot Lakes, MN

Active since December 06, 2006
31095 BERGQUIST DRIVE, PEQUOT LAKES, MN 56472(218) 568-7767(218) 568-4580 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pequot Lakes Chiropractic And Sports Injury Center P.a NPPES

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

PEQUOT LAKES CHIROPRACTIC AND SPORTS INJURY CENTER P.A (NPI 1376602656) is a healthcare organization registered as a chiropractor in Pequot Lakes, Minnesota and active in the NPI registry since December 2006. The organization lists Ryan D Buell, Owner-dc, as its authorized official.

NPPES Registry Identity

NPI1376602656
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePEQUOT LAKES CHIROPRACTIC AND SPORTS INJURY CENTER P.A
Location Address31095 BERGQUIST DRIVEPequot Lakes, MN 56472-0008
Mailing AddressPo Box 8Pequot Lakes, MN 56472 · (218) 568-7767 · Fax (218) 568-4580
Phone(218) 568-7767
Fax(218) 568-4580
Organization SubpartNo
Authorized OfficialRyan D BuellOwner-dc · (218) 568-7767
Enumeration DateDecember 6, 2006
Last NPPES UpdateOctober 11, 2012
✔ NPI 1376602656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3271
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.
31095 BERGQUIST DRIVE, Pequot Lakes, MN 56472
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Other Identifiers 3

Medicaid043813800MN
Medicare UPINU57821MN
Medicare ID-Type Unspecified350001868MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. RYAN DENNIS BUELL DC
Chiropractor
31095 BERGQUIST DRIVE
PEQUOT LAKES, MN 56472
Crow Wing County (218) 568-7767

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 Pequot Lakes Chiropractic And Sports Injury Center P.A's NPI number?

The NPI number for Pequot Lakes Chiropractic And Sports Injury Center P.A is 1376602656. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Pequot Lakes Chiropractic And Sports Injury Center P.A located?

Pequot Lakes Chiropractic And Sports Injury Center P.A is located at 31095 Bergquist Drive, Pequot Lakes, MN 56472. The listed phone number is (218) 568-7767.

What is Pequot Lakes Chiropractic And Sports Injury Center P.A'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 Pequot Lakes Chiropractic And Sports Injury Center P.A was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.