Metrocenter Chiropractic Pa in Minneapolis - Chiropractor
Metrocenter Chiropractic Pa - NPI 1871760884
Metrocenter Chiropractic Pa is a Chiropractor in Minneapolis, Minnesota. Metrocenter Chiropractic Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Metrocenter Chiropractic Pa is 1871760884. The last update date is 2008-05-20.
Metrocenter Chiropractic Pa's current location address is 825 Nicollet Mall Suite #1845, Minneapolis, Minnesota. You can contact this provider via phone number 6123328292 and fax number 6123325972. The mailing address for Metrocenter Chiropractic Pa is 825 Nicollet Mall Suite #1845, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Metrocenter Chiropractic Pa |
|---|---|
| Address | 825 Nicollet Mall Suite #1845, Minneapolis, Minnesota |
| Phone Number | 6123328292 |
| Fax Number | 6123325972 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER CHIR |
|---|---|
| Authorized Official Name | Johnson A Mark |
| Credentials | DC |
| Telephone Number | 6123328292 |
NPI Number Detail
| NPI Number | 1871760884 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 825 Nicollet Mall Suite #1845 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55402 |
| Phone Number | 6123328292 |
| Fax Number | 6123325972 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4790 |
|
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 |
|---|---|---|---|
| 55215100 | MN | -- |
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What is the unique 10-digit identification code assigned to Metrocenter Chiropractic Pa by the Centers for Medicare & Medicaid Services?
The Metrocenter Chiropractic Pa has been issued the NPI (National Provider Identifier) 1871760884, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Metrocenter Chiropractic Pa located?
The Metrocenter Chiropractic Pa is located at 825 Nicollet Mall Suite #1845, Minneapolis, MN 55402.
What is the Metrocenter Chiropractic Pa's specialty and taxonomy code?
The Metrocenter Chiropractic Pa's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871760884 to Metrocenter Chiropractic Pa?
The Metrocenter Chiropractic Pa received its 1871760884 assignment from the Centers for Medicare & Medicaid Services on 2008-05-09.
When was the information pertaining to Metrocenter Chiropractic Pa most recently updated or revised?
The details related to Metrocenter Chiropractic Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-20.
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