Premier Health Of South Minneapolis Ltd in Minneapolis - Chiropractor
Premier Health Of South Minneapolis Ltd - NPI 1194912444
Premier Health Of South Minneapolis Ltd is a Chiropractor in Minneapolis, Minnesota. Premier Health Of South Minneapolis Ltd practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Premier Health Of South Minneapolis Ltd is 1194912444. The last update date is 2008-09-08.
Premier Health Of South Minneapolis Ltd's current location address is 1813 E Lake St, Minneapolis, Minnesota. You can contact this provider via phone number 6127465557 and fax number 6127465559. The mailing address for Premier Health Of South Minneapolis Ltd is 1813 E Lake St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Health Of South Minneapolis Ltd |
|---|---|
| Address | 1813 E Lake St, Minneapolis, Minnesota |
| Phone Number | 6127465557 |
| Fax Number | 6127465559 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Estebo L Larry |
| Credentials | DC |
| Telephone Number | 6513791842 |
NPI Number Detail
| NPI Number | 1194912444 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 1813 E Lake St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554071835 |
| Phone Number | 6127465557 |
| Fax Number | 6127465559 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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 |
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What is the unique identifier code issued to Premier Health Of South Minneapolis Ltd by the Centers for Medicare & Medicaid Services?
The Premier Health Of South Minneapolis Ltd has been assigned the NPI (National Provider Identifier) 1194912444. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Premier Health Of South Minneapolis Ltd is physically located?
The Premier Health Of South Minneapolis Ltd is physically situated at the following address: 1813 E Lake St, Minneapolis, MN, 554071835.
What is Premier Health Of South Minneapolis Ltd's area of expertise and its corresponding taxonomy classification?
The Premier Health Of South Minneapolis Ltd's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1194912444 assigned to Premier Health Of South Minneapolis Ltd?
The Premier Health Of South Minneapolis Ltd was issued its 1194912444 on 2007-10-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Premier Health Of South Minneapolis Ltd most recently updated or revised?
The information pertaining to Premier Health Of South Minneapolis Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-08.