Willow Creek Chiropractic, Pa

LBN: Willow Creek Chiropractic, Pa
Willow Creek Chiropractic, Pa is an health care organization with primary practice located at 5922 Lexington Ave N , Shoreview MN 55126-5604. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Willow Creek Chiropractic, Pa can be contacted via phone (651) 784-3396, or through Head, Michael Douglas via phone (651) 784-3396.

Contact Information

Primary practice address
5922 Lexington Ave N Shoreview MN 55126-5604
Fax: (651) 784-7247
Website:
Authorized official contact:
Name: Head, Michael Douglas Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3281 Minnesota

Profile Details

NPI number 1831278449
LBN Legal business name Willow Creek Chiropractic, Pa
DBA Doing business as
Authorized official Head, Michael Douglas Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Aug 27th, 2008 - about 18 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 1831278449 NPPES
Minnesota MEDICAID 7711328-00
Minnesota Other 35P22WI
Minnesota Other 4400056
Minnesota Other 35923HE
Minnesota Other 79279
Minnesota Other 231934

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