SOUTH LAKE CHIROPRACTIC PLLC NPI 1447630223

NPI Information

  • NPI: 1447630223
  • Provider Name: SOUTH LAKE CHIROPRACTIC PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 24000 HIGHWAY 7
    SUITE 215
    EXCELSIOR, MN
    ZIP 55331
  • Phone: (952) 474-2395

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NPI Details

SOUTH LAKE CHIROPRACTIC PLLC is a chiropractor in Excelsior, 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. SOUTH LAKE CHIROPRACTIC PLLC NPI is 1447630223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24000 HIGHWAY 7
SUITE 215
EXCELSIOR, MN
ZIP 55331-939
Phone: (952) 474-2395
Fax: (952) 401-1690

The provider's authorized official is Michael Isaacson .
The authorized official title is Ceo and has the following contact phone number (952) 474-2395.

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/5/2015.

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
1111N00000XChiropractor3950998MINNESOTAYes

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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