1972529634 NPI number — ELITE CHIROPRACTIC-NORTH ST. PAUL

Table of content: (NPI 1972529634)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972529634 NPI number — ELITE CHIROPRACTIC-NORTH ST. PAUL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELITE CHIROPRACTIC-NORTH ST. PAUL
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:
Provider Other Organization Name Type Code:
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:
1972529634
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20456 LAKE RIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRIOR LAKE
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55372-7805
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-492-5914
Provider Business Mailing Address Fax Number:
952-492-5913

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2597 7TH AVE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55109-3104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-777-1710
Provider Business Practice Location Address Fax Number:
651-777-9108
Provider Enumeration Date:
07/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WILDBERG
Authorized Official First Name:
BRADLEY
Authorized Official Middle Name:
DALE
Authorized Official Title or Position:
OWNER, PRESIDENT OF LLC
Authorized Official Telephone Number:
952-492-5914

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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