DYNAMIC BALANCE PC NPI 1730372509

NPI Information

NPI: 1730372509
Provider Name: DYNAMIC BALANCE PC

Doing Business As: MONTICELLO CHIROPRACTIC & THERAPY

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
212 CEDAR ST
MONTICELLO, MN
ZIP 55362
Phone: (763) 295-2262
Get Directions

DYNAMIC BALANCE PC is a chiropractor in Monticello, 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. DYNAMIC BALANCE PC NPI is 1730372509. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Monticello Chiropractic & Therapy.

The provider's business location address is:

212 CEDAR ST
MONTICELLO, MN
ZIP 55362-598
Phone: (763) 295-2262
Fax: (763) 295-6282

The provider's authorized official is Kelly Cripe .
The authorized official title is Owner and has the following contact phone number (763) 295-2262.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.

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		4170	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	Other Provider Identifier Issuer
1	422L1MO	OTHER	MINNESOTA	BCBS
2	641442	OTHER	MINNESOTA	ACN
3	422L0MO	OTHER	MINNESOTA	BCBS
4	U88667	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: 5/5/2024

NPI Synchronization or Removal

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