Boone Family Chiropractic And Wellness, Plc in Saint Michael - Chiropractor
Boone Family Chiropractic And Wellness, Plc - NPI 1902997703
Boone Family Chiropractic And Wellness, Plc is a Chiropractor in Saint Michael, Minnesota. Boone Family Chiropractic And Wellness, Plc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Boone Family Chiropractic And Wellness, Plc is 1902997703. The last update date is 2016-11-10.
Boone Family Chiropractic And Wellness, Plc's current location address is 12630 43rd St Ne, Saint Michael, Minnesota. You can contact this provider via phone number 7632324303. The mailing address for Boone Family Chiropractic And Wellness, Plc is 12630 43rd St Ne, Saint Michael, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boone Family Chiropractic And Wellness, Plc |
|---|---|
| Address | 12630 43rd St Ne, Saint Michael, Minnesota |
| Phone Number | 7632324303 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Boone-Vikingson M Stacy |
| Credentials | D.C. |
| Telephone Number | 7632324303 |
NPI Number Detail
| NPI Number | 1902997703 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2016-11-10 |
Provider Mailing Address Detail
| Address | 12630 43rd St Ne |
|---|---|
| City | Saint Michael |
| State | Minnesota (MN) |
| Post Code | 553768432 |
| Phone Number | 7632324303 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4815 |
|
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 |
|---|---|---|---|
| 09N81BO | MN | BLUE CROSS BLUE SHIELD OF MINN | |
| 701555 | MN | OPTIMUM HEALTH | |
| 44-03165 | MN | MEDICA | |
| 634620200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Boone Family Chiropractic And Wellness, Plc by the Centers for Medicare & Medicaid Services?
The Boone Family Chiropractic And Wellness, Plc has been issued the NPI (National Provider Identifier) 1902997703 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Boone Family Chiropractic And Wellness, Plc is located?
The Boone Family Chiropractic And Wellness, Plc is situated at the following address: 12630 43Rd St Ne, Saint Michael, MN, 553768432.
What is Boone Family Chiropractic And Wellness, Plc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Boone Family Chiropractic And Wellness, Plc's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Boone Family Chiropractic And Wellness, Plc receive the assignment of its 1902997703 from the Centers for Medicare & Medicaid Services?
The Boone Family Chiropractic And Wellness, Plc was issued its 1902997703 by the Centers for Medicare & Medicaid Services on 2006-09-27.
As of what date were the details related to Boone Family Chiropractic And Wellness, Plc most recently updated or revised?
The information pertaining to Boone Family Chiropractic And Wellness, Plc, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-10.