DR. MICHAEL DOUGLAS HEAD D.C. NPI 1801811880

NPI Information

NPI: 1801811880
Provider Name: DR. MICHAEL DOUGLAS HEAD, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
5922 LEXINGTON AVE N
SHOREVIEW, MN
ZIP 55126
Phone: (651) 784-3396
Get Directions

DR. Michael Douglas Head, D.C. is a chiropractor in Shoreview, 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. DR. Michael Douglas Head, D.C. NPI is 1801811880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5922 LEXINGTON AVE N
SHOREVIEW, MN
ZIP 55126-604
Phone: (651) 784-3396
Fax: (651) 784-7247

The enumeration date for this NPI number is 7/12/2006 and was last updated on 2/10/2015.

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
1	111N00000X	Chiropractor		3281	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4400056	OTHER	MINNESOTA	MEDICA
2	231934	OTHER	MINNESOTA	CCMI ID
3	U58479	MEDICARE UPIN
4	35P22WI	OTHER	MINNESOTA	BCBS OF MN CLINIC ID
5	35P23HE	OTHER	MINNESOTA	BCBS OF MN ID INDIVIDUAL
6	7711328-00	MEDICAID	MINNESOTA
7	79279	OTHER	MINNESOTA	UPIN FOR HEALTHPARTNERS
8	C04660	MEDICARE PIN	MINNESOTA

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

NPI Synchronization or Removal

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