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ST BONIFACIUS CHIROPRACTIC L.L.C. NPI 1760966147


NPI Information

NPI: 1760966147
Provider Name: ST BONIFACIUS CHIROPRACTIC L.L.C.

Doing Business As: ST. BONIFACIUS CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4080 TOWER ST STE 1080
ST BONIFACIUS, MN
ZIP 55375
Phone: (952) 446-1800
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ST BONIFACIUS CHIROPRACTIC L.L.C. is a chiropractor in St Bonifacius, 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. ST BONIFACIUS CHIROPRACTIC L.L.C. NPI is 1760966147. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Bonifacius Chiropractic.

The provider's business location address is:

4080 TOWER ST STE 1080
ST BONIFACIUS, MN
ZIP 55375-144
Phone: (952) 446-1800
Fax: (952) 446-1801

The provider's authorized official is Chase M Martin .
The authorized official title is Owner and has the following contact phone number (701) 202-5963.

The enumeration date for this NPI number is 9/20/2018 and was last updated on 1/29/2020.


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
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: 4/28/2024

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