Marty Gullickson Chiropractic in Hopkins - Chiropractor
Marty Gullickson Chiropractic - NPI 1306919998
Marty Gullickson Chiropractic is a Chiropractor in Hopkins, Minnesota. Marty Gullickson Chiropractic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Marty Gullickson Chiropractic is 1306919998. The last update date is 2014-11-25.
Marty Gullickson Chiropractic's current location address is 17 10th Ave S, Hopkins, Minnesota. You can contact this provider via phone number 9529276639 and fax number 9529270178. The mailing address for Marty Gullickson Chiropractic is 17 10th Ave S, Hopkins, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marty Gullickson Chiropractic |
|---|---|
| Address | 17 10th Ave S, Hopkins, Minnesota |
| Phone Number | 9529276639 |
| Fax Number | 9529270178 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gullickson Thomas Jeffery |
| Credentials | DC |
| Telephone Number | 9529276639 |
NPI Number Detail
| NPI Number | 1306919998 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2014-11-25 |
Provider Mailing Address Detail
| Address | 17 10th Ave S |
|---|---|
| City | Hopkins |
| State | Minnesota (MN) |
| Post Code | 55343 |
| Phone Number | 9529276639 |
| Fax Number | 9529270178 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2937 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42G85MA | MN | BLUE CROSS | |
| 620071100 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marty Gullickson Chiropractic?
The Marty Gullickson Chiropractic has been issued the NPI (National Provider Identifier) 1306919998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Marty Gullickson Chiropractic is geographically located?
The Marty Gullickson Chiropractic is physically situated at the following location: 17 10Th Ave S, Hopkins, MN, 55343.
What is Marty Gullickson Chiropractic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marty Gullickson Chiropractic's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When was the Marty Gullickson Chiropractic's 1306919998 issued?
The Marty Gullickson Chiropractic's 1306919998 was issued on 2006-11-15.
As of what date was the information regarding Marty Gullickson Chiropractic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marty Gullickson Chiropractic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-25.