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PENNEBAKER CLINIC OF CHIROPRACTICLLC NPI 1669527636


NPI Information

NPI: 1669527636
Provider Name: PENNEBAKER CLINIC OF CHIROPRACTIC,LLC

Doing Business As: PLATINUM CHIROPRACTOC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
12300 SINGLETREE LN STE 200
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 941-2225
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PENNEBAKER CLINIC OF CHIROPRACTIC,LLC is a chiropractor in Eden Prairie, 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. PENNEBAKER CLINIC OF CHIROPRACTIC,LLC NPI is 1669527636. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Platinum Chiropractoc.

The provider's business location address is:

12300 SINGLETREE LN STE 200
EDEN PRAIRIE, MN
ZIP 55344-964
Phone: (952) 941-2225
Fax: (952) 903-2816

The provider's authorized official is Ian A Mcneil .
The authorized official title is President and has the following contact phone number (952) 941-2225.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 4/15/2024.


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
1111N00000XChiropractor1392MINNESOTAYes

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

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