Lang Chiropractic Clinic PA
Chiropractor in Brainerd, MN. Organization (NPI-2).
NPI number1861591737
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1861591737
- Entity type
- Organization (NPI-2)
- Legal business name
- Lang Chiropractic Clinic PA
- Organization subpart
- No
- Enumeration date
- Sep 21, 2006
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | MN | Yes |
Other names
- Lakes Chiropractic (Doing Business As)
Practice location
413 S 6th StBrainerd, MN 56401-3539
Phone 218-828-4418 · Fax 218-828-4575
Mailing address
413 S 6th StBrainerd, MN 56401-3539
Phone 218-828-4418 · Fax 218-828-4575
Authorized official
Jay K Lang
Owner
2188284418
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