Provider Demographics
NPI:1861569469
Name:HESS, COLLEEN URBAIN (DC)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:URBAIN
Last Name:HESS
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 1:128 2ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:MN
Mailing Address - Zip Code:55932-9732
Mailing Address - Country:US
Mailing Address - Phone:507-876-9997
Mailing Address - Fax:507-876-9923
Practice Address - Street 1:128 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:MN
Practice Address - Zip Code:55932-9732
Practice Address - Country:US
Practice Address - Phone:507-876-9997
Practice Address - Fax:507-876-9923
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3916111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNU81293Medicare UPIN