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Green Lake Chiropractic, PA

Health Service Clinic/Center in Willmar, MN · enumerated 2008 · authorized official Jon Haefner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760660427

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Registry record

Entity type Organization (Type 2)
Legal business name Green Lake Chiropractic, PA
Other name <Unavail>
Practice address 205 5th St Sw, Willmar, MN, 56201
Phone (320) 214-0044
Fax (320) 214-0045
Enumeration date Feb 5, 2008
Last updated in NPPES Jun 2, 2008

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License 4176 (MN) Primary

Authorized official

Name Jon Haefner
Title President
Phone (320) 214-0044

Other identifiers

Identifier Type State Issuer
627686 Other MN ACN GROUP
0868 Other MN HEALTH SERVICE MGMT.
062M1GR Other MN MN BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Green Lake Chiropractic, PA?
Green Lake Chiropractic, PA is registered in NPPES as a Health Service Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-02.