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BACK TO BASICS CHIROPRACTIC & WELLNESS LLC NPI 1972150464


NPI Information

NPI: 1972150464
Provider Name: BACK TO BASICS CHIROPRACTIC & WELLNESS LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4450 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55419
Phone: (612) 598-8627
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BACK TO BASICS CHIROPRACTIC & WELLNESS LLC 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. BACK TO BASICS CHIROPRACTIC & WELLNESS LLC NPI is 1972150464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4450 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55419-035
Phone: (612) 598-8627

The provider's authorized official is Jillian Rose Skluzacek .
The authorized official title is Chiropractor and has the following contact phone number (952) 594-4161.

The enumeration date for this NPI number is 8/20/2019 and was last updated on 8/20/2019.


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
1111N00000XChiropractorYes

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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