LIFELINE CHIROPRACTIC P.A. NPI 1578621710

NPI Information

  • NPI: 1578621710
  • Provider Name: LIFELINE CHIROPRACTIC , P.A.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 2165 WOODLANE DR
    SUITE 102
    WOODBURY, MN
    ZIP 55125
  • Phone: (651) 735-9353

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NPI Details

LIFELINE CHIROPRACTIC , P.A. is a chiropractor in Woodbury, 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. LIFELINE CHIROPRACTIC , P.A. NPI is 1578621710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2165 WOODLANE DR
SUITE 102
WOODBURY, MN
ZIP 55125-915
Phone: (651) 735-9353
Fax: (651) 735-8282

The provider's authorized official is Scott Durick Hansen .
The authorized official title is President and has the following contact phone number (651) 735-9353.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 9/30/2008.

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
1111N00000XChiropractor3994MINNESOTAYes

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
1007J2LIOTHERMINNESOTABCBSMN
2996448700MEDICAIDMINNESOTA
3350002410MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE
4C04453MEDICARE 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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