Dr. Craig Roy Kaddatz
Chiropractor
130 1st Street W #108
Canby
, Minnesota 56220-1145
Dr. Craig Roy Kaddatz
Chiropractor
130 1st Street W #108
Canby
, Minnesota 56220-1145
(507) 223-7366
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Craig Roy Kaddatz
- 130 1st Street W #108
- Canby, MN
- Zip : 56220-1145
- Fax : (507) 223-7366
- Phone : (507) 223-7366
Second Address
- Dr. Craig Roy Kaddatz
- 130 1st Street W #108
- Canby, MN
- Zip : 56220-1145
- Fax : (507) 223-7366
- Phone : (507) 233-7366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2538 | MN |
National Provider Identifier
| NPI | 1003883034 |
|---|---|
| Provider Name | Dr. Craig Roy Kaddatz |
| First Address | Canby, MN 56220-1145 |
| Second Address | Canby, MN 56220-1145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 28/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0851 | HSM ID (01) | MN |
| 15097 | MIDLANDS CHOICE ID (01) | |
| 1DO74KA | BCBS INDIVIDUAL ID (01) | MN |
| 2038 | DAKOTACARE ID (01) | |
| 22124 | SVHP ID (01) | |
| 59873KA | BCBS GROUP ID (01) | MN |
| 602028300 | (05) | MN |
| 7603720 | (05) | MN |
| T65689 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.