Lakeview Health and Wellness PLLC
NPI 1962774158ActiveOrganization· Chiropractor, Rehabilitation· Bemidji, MN
Chiropractor, Rehabilitation in Bemidji, Minnesota, registered in NPPES in February 2012. The authorized official on file is Shad Leroy Swanson, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962774158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2012 |
| Last updated in NPPES | Nov 13, 2023 |
| Certified by provider | Nov 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 4040 | MN |
| Chiropractor | 111N00000X | 4040 | MN |
| Massage Therapist | 225700000X | — | — |
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) |
|---|