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WORTHINGTON CHIROPRACTIC CLINIC PA NPI 1689763021


NPI Information

NPI: 1689763021
Provider Name: WORTHINGTON CHIROPRACTIC CLINIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D2087679

Address:
1820 OXFORD ST
WORTHINGTON, MN
ZIP 56187
Phone: (507) 372-4400
Get Directions

WORTHINGTON CHIROPRACTIC CLINIC PA is a chiropractor in Worthington, 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. WORTHINGTON CHIROPRACTIC CLINIC PA NPI is 1689763021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1820 OXFORD ST
WORTHINGTON, MN
ZIP 56187-866
Phone: (507) 372-4400

The provider's authorized official is Alan Joseph Ebbers .
The authorized official title is Owner and has the following contact phone number (507) 372-4400.

The CLIA number assigned to this NPI record is 24D2087679 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/11/2010.


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
1111N00000XChiropractorYes

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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