Provider Demographics
NPI:1033145727
Name:INGBRETSON, CHRISTINE ANN HESS (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANN HESS
Last Name:INGBRETSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 149TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HAM LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55304-6323
Mailing Address - Country:US
Mailing Address - Phone:612-418-3587
Mailing Address - Fax:763-208-2911
Practice Address - Street 1:16230 ABERDEEN ST NE STE B
Practice Address - Street 2:
Practice Address - City:HAM LAKE
Practice Address - State:MN
Practice Address - Zip Code:55304-5432
Practice Address - Country:US
Practice Address - Phone:763-208-5382
Practice Address - Fax:763-208-2911
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4695111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350003438Medicare ID - Type UnspecifiedINDIVIDUAL ID
MNC04036Medicare ID - Type UnspecifiedGROUP ID
MNV06218Medicare UPIN