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TEAM HEALTH CARE CLINIC PC NPI 1457458689


NPI Information

NPI: 1457458689
Provider Name: TEAM HEALTH CARE CLINIC PC

Doing Business As: TEAM CARE CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D0962516

Address:
12217 CHAMPLIN DR
CHAMPLIN, MN
ZIP 55316
Phone: (763) 323-1492
Get Directions

TEAM HEALTH CARE CLINIC PC is a chiropractor in Champlin, 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. TEAM HEALTH CARE CLINIC PC NPI is 1457458689. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Team Care Clinic.

The provider's business location address is:

12217 CHAMPLIN DR
CHAMPLIN, MN
ZIP 55316-930
Phone: (763) 323-1492
Fax: (763) 422-1657

The provider's authorized official is Joseph Alan Bertsch .
The authorized official title is Ceo and has the following contact phone number (763) 323-1492.

The CLIA number assigned to this NPI record is 24D0962516 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/16/2022.


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
1111N00000XChiropractor2767MINNESOTANo
2111N00000XChiropractorNo
3111NI0900XChiropractorInternist2076MINNESOTANo
4174400000XSpecialist5938MINNESOTANo
5174400000XSpecialist6548MINNESOTANo
6207QS0010XFamily MedicineSports Medicine34627MINNESOTANo
7111N00000XChiropractor2766MINNESOTAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.