EDWARD L REQUET DC PA NPI 1073617320

NPI Information

  • NPI: 1073617320
  • Provider Name: EDWARD L REQUET DC PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: REQUET CHIROPRACTIC WELLNESS CENTER
  • Address: 600 MARKET ST
    SUITE 260 REQUET CHIROPRACTIC WELLNESS CENTER
    CHANHASSEN, MN
    ZIP 55317
  • Phone: (952) 975-2959

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NPI Details

EDWARD L REQUET DC PA is a chiropractor in Chanhassen, 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. EDWARD L REQUET DC PA NPI is 1073617320. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Requet Chiropractic Wellness Center.

The provider's business location address is:

600 MARKET ST
SUITE 260 REQUET CHIROPRACTIC WELLNESS CENTER
CHANHASSEN, MN
ZIP 55317
Phone: (952) 975-2959
Fax: (952) 975-2973

The provider's authorized official is Edward Leslie Requet .
The authorized official title is Owner and has the following contact phone number (952) 975-2959.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 2/3/2011.

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
1111N00000XChiropractorMN3177MINNESOTAYes

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
1359000335MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
24C666REOTHERMINNESOTABLUE CROSS
3U47654MEDICARE UPIN
44C665REOTHERMINNESOTABLUE CROSS

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: 11/21/2025

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