JEFFREY M MIES DC INC NPI 1013056472

NPI Information

NPI: 1013056472
Provider Name: JEFFREY M MIES DC INC

Doing Business As: GRANITE CITY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1747 7TH ST S
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 251-0822
Get Directions

JEFFREY M MIES DC INC is a chiropractor in Saint Cloud, 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. JEFFREY M MIES DC INC NPI is 1013056472. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Granite City Chiropractic.

The provider's business location address is:

1747 7TH ST S
SAINT CLOUD, MN
ZIP 56301-047
Phone: (320) 251-0822
Fax: (320) 202-0602

The provider's authorized official is Jeffrey Michael Mies .
The authorized official title is President and has the following contact phone number (320) 251-0822.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/15/2008.

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				No
2	111N00000X	Chiropractor		2962	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	U42556	MEDICARE UPIN	MINNESOTA
2	C04244	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	3X434	MEDICARE PIN	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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