Great Lakes Chiropractic Llc

LBN: Great Lakes Chiropractic Llc
Great Lakes Chiropractic Llc is an health care organization with primary practice located at 13601 80Th Cir N Suite 210, Maple Grove MN 55369-8999. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Great Lakes Chiropractic Llc can be contacted via phone (763) 420-4635, or through Detlefsen, Phillip J via phone (763) 420-4635.

Contact Information

Primary practice address
13601 80Th Cir N Suite 210 Maple Grove MN 55369-8999
Phone: (763) 420-4635
Fax: (763) 390-1381
Website:
Map and Directions
Authorized official contact:
Name: Detlefsen, Phillip J Doctor of Chiropractic (DC)
Phone: (763) 420-4635

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4448 Minnesota

Profile Details

NPI number 1326164773
LBN Legal business name Great Lakes Chiropractic Llc
DBA Doing business as
Authorized official Detlefsen, Phillip J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 24th, 2010 - about 16 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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