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JODI ANN CHURCH D.C. NPI 1477613487


NPI Information

NPI: 1477613487
Provider Name: JODI ANN CHURCH, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1755 17TH AVE E
SHAKOPEE, MN
ZIP 55379
Phone: (952) 445-5250
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Jodi Ann Church, D.C. is a chiropractor in Shakopee, MN with 23 years of experience. 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. Jodi Ann Church, D.C. NPI is 1477613487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year:2001

The provider's business location address is:

1755 17TH AVE E
SHAKOPEE, MN
ZIP 55379-372
Phone: (952) 445-5250
Fax: (952) 445-5350

The enumeration date for this NPI number is 12/11/2006 and was last updated on 11/30/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4253MINNESOTAYes

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 Other Provider Identifier Issuer
1U93676MEDICARE UPINMINNESOTA
2350002790MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE

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: 5/5/2024

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