Fishtrap Lake Enterprises Inc.
NPI 1497052898ActiveOrganization· Chiropractor· Burnsville, MN
Chiropractor in Burnsville, Minnesota, registered in NPPES in February 2011. The authorized official on file is Michael Edward Novak, D.C., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497052898 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2011 |
| Last updated in NPPES | Mar 6, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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