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INNATE & HYACK FAMILY CHIROPRACTIC LLC NPI 1114114642


NPI Information

NPI: 1114114642
Provider Name: INNATE & HYACK FAMILY CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2626 E 82ND ST
#103
BLOOMINGTON, MN
ZIP 55425
Phone: (952) 854-0057
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INNATE & HYACK FAMILY CHIROPRACTIC LLC is a chiropractor in Bloomington, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. INNATE & HYACK FAMILY CHIROPRACTIC LLC NPI is 1114114642. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2626 E 82ND ST
#103
BLOOMINGTON, MN
ZIP 55425-300
Phone: (952) 854-0057
Fax: (952) 854-0058

The provider's authorized official is Jeffrey Robert Hyack .
The authorized official title is Owner and has the following contact phone number (952) 854-0057.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 12/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4518MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C04123OTHERMINNESOTAMEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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