MJ CHIROPRACTIC NPI 1992909998

NPI Information

  • NPI: 1992909998
  • Provider Name: MJ CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: BLOOM LAKE CHIROPRACTIC
  • Address: 1527 E LAKE ST
    SUITE 200A
    MINNEAPOLIS, MN
    ZIP 55407
  • Phone: (612) 721-1820

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NPI Details

MJ CHIROPRACTIC is a chiropractor in Minneapolis, 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. MJ CHIROPRACTIC NPI is 1992909998. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bloom Lake Chiropractic.

The provider's business location address is:

1527 E LAKE ST
SUITE 200A
MINNEAPOLIS, MN
ZIP 55407-700
Phone: (612) 721-1820
Fax: (612) 721-1828

The provider's authorized official is Jason Smith .
The authorized official title is Owner and has the following contact phone number (612) 721-1820.

The enumeration date for this NPI number is 6/13/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3356MINNESOTAYes

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: 3/30/2025

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