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NORTHWOODS SPINE INSTSITUTE PA NPI 1013100395


NPI Information

NPI: 1013100395
Provider Name: NORTHWOODS SPINE INSTSITUTE, PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5524 W BROADWAY AVE
CRYSTAL, MN
ZIP 55428
Phone: (763) 533-7700
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NORTHWOODS SPINE INSTSITUTE, PA is a chiropractor in Crystal, 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. NORTHWOODS SPINE INSTSITUTE, PA NPI is 1013100395. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5524 W BROADWAY AVE
CRYSTAL, MN
ZIP 55428-508
Phone: (763) 533-7700
Fax: (763) 533-6670

The provider's authorized official is Gary Lee Hahn .
The authorized official title is President/doctor and has the following contact phone number (763) 533-7700.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 8/21/2007.


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
1111N00000XChiropractor4522MINNESOTAYes

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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