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ST. CHARLES FAMILY CHIROPRACTIC NPI 1982873337


NPI Information

NPI: 1982873337
Provider Name: ST. CHARLES FAMILY CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D2235752

Address:
213 E 6TH ST
SAINT CHARLES, MN
ZIP 55972
Phone: (507) 932-5696
Get Directions

ST. CHARLES FAMILY CHIROPRACTIC is a chiropractor in Saint Charles, 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. CHARLES FAMILY CHIROPRACTIC NPI is 1982873337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

213 E 6TH ST
SAINT CHARLES, MN
ZIP 55972-403
Phone: (507) 932-5696

The provider's authorized official is Eric Douglas Omdahl .
The authorized official title is President and has the following contact phone number (507) 932-5696.

The CLIA number assigned to this NPI record is 24D2235752 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 3/3/2008.


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
1111N00000XChiropractor4958MINNESOTAYes

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: 5/5/2024

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