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RADIANCE SPINE INJURY & WELLNESS CENTER NPI 1255798617


NPI Information

NPI: 1255798617
Provider Name: RADIANCE SPINE INJURY & WELLNESS CENTER

Doing Business As: DANIEL E RIVERAMEDINA

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7201 YORK AVE S APT 1219
EDINA, MN
ZIP 55435
Phone: (612) 237-2508
Get Directions

RADIANCE SPINE INJURY & WELLNESS CENTER is a chiropractor in Edina, 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. RADIANCE SPINE INJURY & WELLNESS CENTER NPI is 1255798617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Daniel E Riveramedina.

The provider's business location address is:

7201 YORK AVE S APT 1219
EDINA, MN
ZIP 55435-447
Phone: (612) 237-2508

The provider's authorized official is Daniel Enrique Riveramedina .
The authorized official title is Chiropractor and has the following contact phone number 61223872508.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.


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
1111N00000XChiropractorYes

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

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