Spine & Sports Institute in Maple Grove - Sports Physician
Spine & Sports Institute - NPI 1316143936
Spine & Sports Institute is a Sports Physician in Maple Grove, Minnesota. Spine & Sports Institute practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Spine & Sports Institute is 1316143936. The last update date is 2020-08-22.
Spine & Sports Institute's current location address is 9325 Upland Lane N, Maple Grove, Minnesota. You can contact this provider via phone number 7633150466 and fax number 7633150884. The mailing address for Spine & Sports Institute is 9325 Upland Lane N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spine & Sports Institute |
|---|---|
| Address | 9325 Upland Lane N, Maple Grove, Minnesota |
| Phone Number | 7633150466 |
| Fax Number | 7633150884 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sandell James Joshua |
| Credentials | D.C |
| Telephone Number | 7633150466 |
NPI Number Detail
| NPI Number | 1316143936 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9325 Upland Lane N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694450 |
| Phone Number | 7633150466 |
| Fax Number | 7633150884 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 4196 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the Spine & Sports Institute's unique identification number?
The Spine & Sports Institute has been assigned the NPI (National Provider Identifier) Number 1316143936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Spine & Sports Institute?
The Spine & Sports Institute is physically situated at 9325 Upland Lane N, in the city of Maple Grove, state of MN, with the postal code 553694450.
What is Spine & Sports Institute's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spine & Sports Institute is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
When did the Spine & Sports Institute receive its 1316143936?
The Spine & Sports Institute was issued its 1316143936 on 2007-06-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Spine & Sports Institute's details last updated?
The information pertaining to the Spine & Sports Institute, including its address, specialty, and other details, was most recently updated on 2020-08-22.