INTEGRATED CHIROPRACTIC SERVICES NPI 1538468293

NPI Information

  • NPI: 1538468293
  • Provider Name: INTEGRATED CHIROPRACTIC SERVICES
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4422 WHITE BEAR AVE N
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Phone: (651) 287-8780

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NPI Details

INTEGRATED CHIROPRACTIC SERVICES is a chiropractor in White Bear Lake, 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. INTEGRATED CHIROPRACTIC SERVICES NPI is 1538468293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4422 WHITE BEAR AVE N
WHITE BEAR LAKE, MN
ZIP 55110-475
Phone: (651) 287-8780
Fax: (651) 287-8786

The provider's authorized official is Brent David Venables .
The authorized official title is Partner and has the following contact phone number (651) 287-8780.

The enumeration date for this NPI number is 3/21/2011 and was last updated on 3/21/2011.

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
1111N00000XChiropractor3592MINNESOTAYes

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
1822520600MEDICAIDMINNESOTA
2H81071MEDICARE UPINMINNESOTA
3350002649MEDICARE PINMINNESOTA

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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