COLLYARD CHIROPRACTIC P A NPI 1972837649

NPI Information

  • NPI: 1972837649
  • Provider Name: COLLYARD CHIROPRACTIC P A
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 510 FREEPORT AVE NW STE F
    ELK RIVER, MN
    ZIP 55330
  • Phone: (763) 274-0377

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NPI Details

COLLYARD CHIROPRACTIC P A is a clinic center in Elk River, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COLLYARD CHIROPRACTIC P A NPI is 1972837649. The provider is registered as an organization entity type.

The provider's business location address is:

510 FREEPORT AVE NW STE F
ELK RIVER, MN
ZIP 55330-007
Phone: (763) 274-0377
Fax: (763) 633-0366

The provider's authorized official is Carrie Lynn Collyard-glinsek .
The authorized official title is Owner and has the following contact phone number (763) 274-0377.

The enumeration date for this NPI number is 9/28/2009 and was last updated on 1/7/2015.

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
1261Q00000XClinic/CenterDC 4090MINNESOTAYes

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
1966407600MEDICAIDMINNESOTA
2U86940MEDICARE UPINMINNESOTA
3350002464MEDICARE PINMINNESOTA

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: 11/21/2025

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