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IHS OF WOODBURY PA NPI 1629477013


NPI Information

NPI: 1629477013
Provider Name: IHS OF WOODBURY PA

Doing Business As: HEALTHSOURCE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1754 OLD HUDSON RD
SAINT PAUL, MN
ZIP 55106
Phone: (612) 708-1067
Get Directions

IHS OF WOODBURY PA is a chiropractor in Saint Paul, 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. IHS OF WOODBURY PA NPI is 1629477013. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthsource.

The provider's business location address is:

1754 OLD HUDSON RD
SAINT PAUL, MN
ZIP 55106-118
Phone: (612) 708-1067

The provider's authorized official is Joshua Kary .
The authorized official title is Chiropractor and has the following contact phone number (651) 731-1880.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.


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
1111N00000XChiropractor5965MINNESOTAYes

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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