EAGLE VALLEY CHIROPRACTIC LLC
Managed Care Organizations at Pembroke Ave, Dumfries, MN

License number
Minnesota 4754-012
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Minnesota 5533
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. JESSIN SKOUG DC
Title: OWNER
Phone: (651) 565-4863
Address
Address
176 Pembroke Ave S, Dumfries, MN 55981
National Provider ID: 1699054213
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAGLE VALLEY CHIROPRACTIC LLC

131 W Main St, Wabasha, MN 55981

Registration:
Jul 8, 2011
State ID:
E041865
Business type:
Foreign LLC

Eagle Valley Chiropractic LLC

176 Pembroke Ave S, Dumfries, MN 55981

Industry:
Offices and Clinics of Chiropractors
Dcs:
Jessin Skout (Owner, Principal),Jessin Skoug (Dc)