John Charles Redebaugh, D.C.

Chiropractor · Nisswa, MN

Individual Active NPI

NPI number 1164512646

Practice location

5314 Nisswa Ave
Nisswa, MN 56474
Phone
(218) 963-2944
Fax
(219) 963-0899

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NPI record

NPI
1164512646
Entity type
Individual (Type 1)
Enumeration date
October 13, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 1512 MN

Mailing address

PO Box 689
Nisswa, MN 56468-0689
Phone
(218) 963-2944
Fax
(218) 963-0899

About Dr. Redebaugh

John Charles Redebaugh, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 5314 Nisswa Ave, Nisswa, MN 56474. The NPI number 1164512646 was assigned on October 13, 2006 and the record was last updated on July 8, 2007.

Dr. Redebaugh lists a license in the registry: #1512 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Charles Redebaugh, D.C.?

The NPI number is 1164512646.

What is the phone number of Dr. Redebaugh?

The phone number listed for the practice location is (218) 963-2944.

Where is Dr. Redebaugh located?

5314 Nisswa Ave, Nisswa, MN 56474.

What is the taxonomy code for Dr. Redebaugh?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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