Theisen, Jo G

Theisen, Jo G is an individual health care provider with primary practice located at 8465 W Broadway Ave , Brooklyn Park MN 55445-2266. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Theisen, Jo G can be contacted via phone (763) 424-7750.

Contact Information

Primary practice address
8465 W Broadway Ave Brooklyn Park MN 55445-2266
Phone: (763) 424-7750
Fax: (763) 424-3444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2599 Minnesota

Profile Details

NPI number 1730262494
LBN Legal business name Theisen, Jo G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 16th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730262494 NPPES
Minnesota MEDICAID 416728700
Minnesota Other 1952484602

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