Bear Town Chiropractic Clinic, P.A. in White Bear Lake - Chiropractor
Bear Town Chiropractic Clinic, P.A. - NPI 1871530352
Bear Town Chiropractic Clinic, P.A. is a Chiropractor in White Bear Lake, Minnesota. Bear Town Chiropractic Clinic, P.A. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bear Town Chiropractic Clinic, P.A. is 1871530352. The last update date is 2010-02-10.
Bear Town Chiropractic Clinic, P.A.'s current location address is 2186 3rd St, White Bear Lake, Minnesota. You can contact this provider via phone number 6514291447 and fax number 6514295008. The mailing address for Bear Town Chiropractic Clinic, P.A. is 2186 3rd St, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bear Town Chiropractic Clinic, P.A. |
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Address | 2186 3rd St, White Bear Lake, Minnesota |
Phone Number | 6514291447 |
Fax Number | 6514295008 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Heurung Richard Russell |
Credentials | D.C. |
Telephone Number | 6514291447 |
NPI Number Detail
NPI Number | 1871530352 |
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Provider Enumeration Date | 2006-06-01 |
Last Updated Date | 2010-02-10 |
Provider Mailing Address Detail
Address | 2186 3rd St |
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City | White Bear Lake |
State | Minnesota (MN) |
Post Code | 551103263 |
Phone Number | 6514291447 |
Fax Number | 6514295008 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 3282 |
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 Bear Town Chiropractic Clinic, P.A.'s 1871530352?
The Bear Town Chiropractic Clinic, P.A.'s NPI (National Provider Identifier) Number is 1871530352. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bear Town Chiropractic Clinic, P.A. is geographically located?
The Bear Town Chiropractic Clinic, P.A. is physically situated at the following location: 2186 3Rd St, White Bear Lake, MN, 551103263.
What is the Bear Town Chiropractic Clinic, P.A.'s area of specialization and corresponding taxonomy classification?
The Bear Town Chiropractic Clinic, P.A.'s specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When was the Bear Town Chiropractic Clinic, P.A.'s 1871530352 issued?
The Bear Town Chiropractic Clinic, P.A.'s 1871530352 was issued on 2006-06-01.
As of what date were the Bear Town Chiropractic Clinic, P.A.'s details last updated?
The information pertaining to the Bear Town Chiropractic Clinic, P.A., including its address, specialty, and other details, was most recently updated on 2010-02-10.