RED WING CHIROPRACTIC CLINIC PA NPI 1306949797

NPI Information

  • NPI: 1306949797
  • Provider Name: RED WING CHIROPRACTIC CLINIC PA
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 29218 HIGHWAY 58 BLVD
    RED WING, MN
    ZIP 55066
  • Phone: (651) 388-8294

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NPI Details

RED WING CHIROPRACTIC CLINIC PA is a chiropractor in Red Wing, 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. RED WING CHIROPRACTIC CLINIC PA NPI is 1306949797. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

29218 HIGHWAY 58 BLVD
RED WING, MN
ZIP 55066-407
Phone: (651) 388-8294
Fax: (651) 388-7461

The provider's authorized official is Jay Melvin Greenberg .
The authorized official title is President and has the following contact phone number (651) 388-8294.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.

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
1111N00000XChiropractor166MINNESOTAYes

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
131374REOTHERBLUE CROSS BLUE SHIELD

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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