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ELITE CHIROPRACTIC-NORTH ST. PAUL NPI 1972529634


NPI Information

NPI: 1972529634
Provider Name: ELITE CHIROPRACTIC-NORTH ST. PAUL
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2597 7TH AVE E
SAINT PAUL, MN
ZIP 55109
Phone: (651) 777-1710
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ELITE CHIROPRACTIC-NORTH ST. PAUL is a chiropractor in Saint Paul, 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. ELITE CHIROPRACTIC-NORTH ST. PAUL NPI is 1972529634. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2597 7TH AVE E
SAINT PAUL, MN
ZIP 55109-104
Phone: (651) 777-1710
Fax: (651) 777-9108

The provider's authorized official is Bradley Dale Wildberg .
The authorized official title is Owner, President Of Llc and has the following contact phone number (952) 492-5914.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.


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: 11/14/2023

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