Marty Chiropractic

LBN: Marty Clinic Pa
Marty Chiropractic is an health care organization with primary practice located at 5201 Eden Ave Suite 190, Edina MN 55436-2316. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Marty Clinic Pa can be contacted via phone (952) 920-9721, or through Martyeldridge, Susan via phone (952) 920-9721.

Contact Information

Primary practice address
5201 Eden Ave Suite 190 Edina MN 55436-2316
Phone: (952) 920-9721
Fax: (952) 241-4355
Website:
Map and Directions
Authorized official contact:
Name: Martyeldridge, Susan Doctor of Chiropractic (DC)
Phone: (952) 920-9721

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1566 Minnesota

Profile Details

NPI number 1588611438
LBN Legal business name Marty Clinic Pa
DBA Doing business as Marty Chiropractic
Authorized official Martyeldridge, Susan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Jun 8th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588611438 NPPES
Minnesota MEDICAID 021527900

Popular Providers