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CHIROPRACTIC CENTER FOR HEALTHY LIVING PC NPI 1376721647


NPI Information

NPI: 1376721647
Provider Name: CHIROPRACTIC CENTER FOR HEALTHY LIVING PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1415 WEST HAVENS STREET
SUITE 3
MITCHELL, SD
ZIP 57301
Phone: (605) 996-1160
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CHIROPRACTIC CENTER FOR HEALTHY LIVING PC is a chiropractor in Mitchell, SD. 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. CHIROPRACTIC CENTER FOR HEALTHY LIVING PC NPI is 1376721647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1415 WEST HAVENS STREET
SUITE 3
MITCHELL, SD
ZIP 57301-116
Phone: (605) 996-1160
Fax: (605) 996-6433

The provider's authorized official is Scott James Mullenmeister .
The authorized official title is Owner/chiropractor and has the following contact phone number (605) 996-1160.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 3/27/2012.


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
1111NN0400XChiropractorNeurology1040SOUTH DAKOTANo
2111NN0400XChiropractorNeurology050115FLORIDANo
3111N00000XChiropractor1039SOUTH DAKOTAYes

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
142563OTHERSOUTH DAKOTAGROUP PIN
2V01733MEDICARE UPINSOUTH DAKOTA
3S42565MEDICARE PINSOUTH DAKOTA
4V01732MEDICARE UPINSOUTH DAKOTA
5S42567MEDICARE PINSOUTH DAKOTA
6SD00722OTHERSOUTH DAKOTAEID

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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