Groveland Chiropractic in Saint Paul - Chiropractor
Groveland Chiropractic - NPI 1972790269
Groveland Chiropractic is a Chiropractor in Saint Paul, Minnesota. Groveland Chiropractic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Groveland Chiropractic is 1972790269. The last update date is 2007-10-01.
Groveland Chiropractic's current location address is 2052 Saint Clair Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6516982516. The mailing address for Groveland Chiropractic is 2052 Saint Clair Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Groveland Chiropractic |
|---|---|
| Address | 2052 Saint Clair Ave, Saint Paul, Minnesota |
| Phone Number | 6516982516 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Roeder Marcia |
| Credentials | D.C. |
| Telephone Number | 6516982516 |
NPI Number Detail
| NPI Number | 1972790269 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 2052 Saint Clair Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551051650 |
| Phone Number | 6516982516 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3353 |
|
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 |
|---|---|---|---|
| 22315ES | MN | BCBS |
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What is the unique identifier code issued to Groveland Chiropractic by the Centers for Medicare & Medicaid Services (CMS)?
The Groveland Chiropractic has been assigned the NPI (National Provider Identifier) 1972790269. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Groveland Chiropractic's physical address?
The Groveland Chiropractic is physically located at 2052 Saint Clair Ave, in the city of Saint Paul, MN, with the postal code 551051650.
What is Groveland Chiropractic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Groveland Chiropractic is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did Groveland Chiropractic receive its 1972790269 assignment from the Centers for Medicare & Medicaid Services?
The Groveland Chiropractic was assigned its 1972790269 on 2007-10-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Groveland Chiropractic's information last updated?
The Groveland Chiropractic's information was last updated on 2007-10-01.
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