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WILLMAR CHIROPRACTIC CLINIC P.A.
NPI 1417260779
Chiropractor in Willmar, MN

Active since July 15, 2010
1950 19TH AVE SW, WILLMAR, MN 56201(320) 235-7347(320) 222-2826 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willmar Chiropractic Clinic P.a. NPPES

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

WILLMAR CHIROPRACTIC CLINIC P.A. (NPI 1417260779) is a healthcare organization registered as a chiropractor in Willmar, Minnesota and active in the NPI registry since July 2010. The organization lists Craig Matthew Leis, President, as its authorized official.

NPPES Registry Identity

NPI1417260779
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILLMAR CHIROPRACTIC CLINIC P.A.
Location Address1950 19TH AVE SWWillmar, MN 56201-4925
Mailing Address1950 19th Ave SwWillmar, MN 56201-4925 · (320) 235-7347 · Fax (320) 222-2826
Phone(320) 235-7347
Fax(320) 222-2826
Organization SubpartNo
Authorized OfficialCraig Matthew LeisPresident · (320) 235-7347
Enumeration DateJuly 15, 2010
✔ NPI 1417260779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 2839
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.
1950 19TH AVE SW, Willmar, MN 56201
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Other Identifiers 2

Medicare PIN359000818MN
Medicaid725528400MN

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

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 Willmar Chiropractic Clinic P.A.'s NPI number?

The NPI number for Willmar Chiropractic Clinic P.A. is 1417260779. It was assigned to this organization in the NPPES registry on July 15, 2010.

Where is Willmar Chiropractic Clinic P.A. located?

Willmar Chiropractic Clinic P.A. is located at 1950 19th Ave SW, Willmar, MN 56201. The listed phone number is (320) 235-7347.

What is Willmar Chiropractic Clinic 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 Willmar Chiropractic Clinic P.A. was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.