Joseph Michael Mckiernan
Rehabilitation Chiropractor
225 N Benton Dr Suite 105
Sauk Rapids
, Minnesota 56379-1575
Joseph Michael Mckiernan
Rehabilitation Chiropractor
225 N Benton Dr Suite 105
Sauk Rapids
, Minnesota 56379-1575
(320) 252-2159
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Joseph Michael Mckiernan
- 225 N Benton Dr Suite 105
- Sauk Rapids, MN
- Zip : 56379-1575
- Fax : (320) 252-2159
- Phone : (320) 252-2225
Second Address
- Joseph Michael Mckiernan
- 225 N Benton Dr Suite 105
- Sauk Rapids, MN
- Zip : 56379-1575
- Fax : (320) 252-2159
- Phone : (320) 252-2225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 1412 | MN |
National Provider Identifier
| NPI | 1306985288 |
|---|---|
| Provider Name | Joseph Michael Mckiernan |
| First Address | Sauk Rapids, MN 56379-1575 |
| Second Address | Sauk Rapids, MN 56379-1575 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0N470MC | BLUE CROSS AND BLUE SHIEL (01) | MN |
| 799325100 | (05) | MN |
| T65853 | (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.