John Wayne Samuelson
Chiropractor Orthopedic Specialist
13 W 2nd Ave N
Aurora
, Minnesota 55705-1313
John Wayne Samuelson
Chiropractor Orthopedic Specialist
13 W 2nd Ave N
Aurora
, Minnesota 55705-1313
(218) 229-2661
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- John Wayne Samuelson
- 13 W 2nd Ave N
- Aurora, MN
- Zip : 55705-1313
- Fax : (218) 229-2661
- Phone : (218) 229-3638
Second Address
- John Wayne Samuelson
- 13 W 2nd Ave N
- Aurora, MN
- Zip : 55705-1313
- Fax : (218) 229-2661
- Phone : (218) 229-3638
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1626 | MN |
National Provider Identifier
| NPI | 1275617128 |
|---|---|
| Provider Name | John Wayne Samuelson |
| First Address | Aurora, MN 55705-1313 |
| Second Address | Aurora, MN 55705-1313 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 230743 | CHIROCARE (01) | MN |
| 69716SA | BLUE CROSS BLUE SHIELD (01) | MN |
| T66086 | (02) | MN |
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.