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LIFECLINIC REHABILITATION AND CHIROPRACTIC NPI 1356751523


NPI Information

NPI: 1356751523
Provider Name: LIFECLINIC REHABILITATION AND CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5525 CEDAR LAKE RD S
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 546-5474
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LIFECLINIC REHABILITATION AND CHIROPRACTIC is a chiropractor in St Louis Park, 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. LIFECLINIC REHABILITATION AND CHIROPRACTIC NPI is 1356751523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5525 CEDAR LAKE RD S
ST LOUIS PARK, MN
ZIP 55416-420
Phone: (952) 546-5474

The provider's authorized official is Nicholas Donald Novakoski .
The authorized official title is Chiropractic and has the following contact phone number (952) 546-5474.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.


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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