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DR. JEREMY GLEN MARTY D.C. NPI 1104283928


NPI Information

NPI: 1104283928
Provider Name: DR. JEREMY GLEN MARTY, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
18476 KENRICK AVE
SUITE 201
LAKEVILLE, MN
ZIP 55044
Phone: (612) 440-5776
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DR. Jeremy Glen Marty, D.C. is a chiropractor in Lakeville, 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. DR. Jeremy Glen Marty, D.C. NPI is 1104283928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18476 KENRICK AVE
SUITE 201
LAKEVILLE, MN
ZIP 55044-288
Phone: (612) 440-5776
Fax: (952) 236-6732

The enumeration date for this NPI number is 1/25/2016 and was last updated on 10/24/2016.


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
1111N00000XChiropractor6189MINNESOTAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.