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ROTH CHIROPRACTIC PLLC NPI 1710280490


NPI Information

NPI: 1710280490
Provider Name: ROTH CHIROPRACTIC PLLC

Former Legal Business Name: ROTH CHIROPRACTIC SC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
315 SE MAIN ST APT 412
MINNEAPOLIS, MN
ZIP 55414
Phone: (612) 916-3506
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ROTH CHIROPRACTIC PLLC is a chiropractor in Minneapolis, 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. ROTH CHIROPRACTIC PLLC NPI is 1710280490. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Roth Chiropractic Sc.

The provider's business location address is:

315 SE MAIN ST APT 412
MINNEAPOLIS, MN
ZIP 55414-222
Phone: (612) 916-3506

The provider's authorized official is James Arthur Tacyshyn-roth .
The authorized official title is Dr./owner and has the following contact phone number (612) 916-3506.

The enumeration date for this NPI number is 12/17/2010 and was last updated on 3/7/2018.


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
1111N00000XChiropractorWI2869WISCONSINYes

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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