1467662742 NPI number — SKON CHIROPRACTIC PA

Table of content: (NPI 1467662742)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467662742 NPI number — SKON CHIROPRACTIC PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SKON CHIROPRACTIC PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SKON CHIROPRACTIC INC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467662742
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
856 RAYMOND AVE
Provider Second Line Business Mailing Address:
UNIT C
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-644-3900
Provider Business Mailing Address Fax Number:
651-644-8969

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
856 RAYMOND AVE
Provider Second Line Business Practice Location Address:
UNIT C
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-644-3900
Provider Business Practice Location Address Fax Number:
651-644-8969
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SKON
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
HENRY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
651-644-3900

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2175 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 066910000 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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