MARINA PROUDFOOT D.C. NPI 1467529560

NPI Information

NPI: 1467529560
Provider Name: MARINA PROUDFOOT, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2021 E HENNEPIN AVE STE 137
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 676-0438
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Marina Proudfoot, D.C. is a chiropractor in Minneapolis, 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. Marina Proudfoot, D.C. NPI is 1467529560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2021 E HENNEPIN AVE STE 137
MINNEAPOLIS, MN
ZIP 55413-723
Phone: (612) 676-0438
Fax: (612) 395-5247

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/20/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		1995	MINNESOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	455228800	MEDICAID	MINNESOTA
2	350002359	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	U0-2751	MEDICARE UPIN	MINNESOTA

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

NPI Synchronization or Removal

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