Boulevard Chiropractic Clinic, P.A.

LBN: Boulevard Chiropractic Clinic, P.A.
Boulevard Chiropractic Clinic, P.A. is an health care organization with primary practice located at 7200 Minnetonka Blvd , St Louis Park MN 55426-3210. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty. Boulevard Chiropractic Clinic, P.A. can be contacted via phone (952) 925-4847, or through Paulson, Chad Alan via phone (952) 925-4847.

Contact Information

Primary practice address
7200 Minnetonka Blvd St Louis Park MN 55426-3210
Phone: (952) 925-4847
Fax: (952) 925-4211
Website:
Map and Directions
Authorized official contact:
Name: Paulson, Chad Alan Doctor of Chiropractic (DC)
Phone: (952) 925-4847

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 1266 Minnesota

Profile Details

NPI number 1568544864
LBN Legal business name Boulevard Chiropractic Clinic, P.A.
DBA Doing business as
Authorized official Paulson, Chad Alan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 9th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568544864 NPPES
Minnesota MEDICAID 479324200

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