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NORTHEAST CHIROPRACTIC NPI 1205370285


NPI Information

NPI: 1205370285
Provider Name: NORTHEAST CHIROPRACTIC

Doing Business As: LYN LAKE CHIROPRACTIC NORTHEAST

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 24D2055046

Address:
34 13TH AVE NE
B002C
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 378-1050
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NORTHEAST CHIROPRACTIC is a clinic center in Minneapolis, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NORTHEAST CHIROPRACTIC NPI is 1205370285. The provider is registered as an organization entity type.
The provider Is Doing Business As Lyn Lake Chiropractic Northeast.

The provider's business location address is:

34 13TH AVE NE
B002C
MINNEAPOLIS, MN
ZIP 55413-002
Phone: (612) 378-1050
Fax: (612) 378-1051

The provider's authorized official is Kevin Joseph Schreifels .
The authorized official title is Chiropractic - Owner and has the following contact phone number (612) 378-1050.

The CLIA number assigned to this NPI record is 24D2055046 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.


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
1261Q00000XClinic/Center4017MINNESOTAYes

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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