HEALTHSOURCE OF EDEN PRAIRIE PLLC NPI 1144523689

NPI Information

NPI: 1144523689
Provider Name: HEALTHSOURCE OF EDEN PRAIRIE, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7920 MITCHELL RD
EDEN PRAIRIE, MN
ZIP 55344
Phone: (612) 396-4520
Get Directions

HEALTHSOURCE OF EDEN PRAIRIE, PLLC is a chiropractor in Eden Prairie, 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. HEALTHSOURCE OF EDEN PRAIRIE, PLLC NPI is 1144523689. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7920 MITCHELL RD
EDEN PRAIRIE, MN
ZIP 55344-218
Phone: (612) 396-4520

The provider's authorized official is Katherine Kearney-bidwell .
The authorized official title is Owner/chiropractor and has the following contact phone number (612) 396-4520.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/6/2010.

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		4917	MINNESOTA	Yes

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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