Advanced Back Technology, P.A. in Wayzata - Chiropractor
Advanced Back Technology, P.A. - NPI 1053490615
Advanced Back Technology, P.A. is a Chiropractor in Wayzata, Minnesota. Advanced Back Technology, P.A. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Advanced Back Technology, P.A. is 1053490615. The last update date is 2020-08-22.
Advanced Back Technology, P.A.'s current location address is 1421 Wayzata Blvd East, Wayzata, Minnesota. You can contact this provider via phone number 9524731663 and fax number 9524739662. The mailing address for Advanced Back Technology, P.A. is 1421 Wayzata Blvd East, Wayzata, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Back Technology, P.A. |
|---|---|
| Address | 1421 Wayzata Blvd East, Wayzata, Minnesota |
| Phone Number | 9524731663 |
| Fax Number | 9524739662 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Claussen Lewis Frederick |
| Credentials | D.C. |
| Telephone Number | 9524731663 |
NPI Number Detail
| NPI Number | 1053490615 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1421 Wayzata Blvd East |
|---|---|
| City | Wayzata |
| State | Minnesota (MN) |
| Post Code | 55391 |
| Phone Number | 9524731663 |
| Fax Number | 9524739662 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1911 |
|
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 |
|---|---|---|---|
| 097K2AD | MN | BLUE CROSS ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Advanced Back Technology, P.A. by the Centers for Medicare & Medicaid Services?
The Advanced Back Technology, P.A. has been issued the NPI (National Provider Identifier) 1053490615, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Advanced Back Technology, P.A. is geographically located?
The Advanced Back Technology, P.A. is physically situated at the following location: 1421 Wayzata Blvd East, Wayzata, MN, 55391.
What is Advanced Back Technology, P.A.'s area of expertise and its corresponding taxonomy classification?
The Advanced Back Technology, P.A.'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 1053490615 assigned to Advanced Back Technology, P.A.?
The Advanced Back Technology, P.A. was issued its 1053490615 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Advanced Back Technology, P.A.'s information last updated?
The Advanced Back Technology, P.A.'s information was last updated on 2020-08-22.