Fulcrum Health, INC.
Exclusive Provider Organization in Plymouth, MN. Organization (NPI-2).
NPI number1003000969
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1003000969
- Entity type
- Organization (NPI-2)
- Legal business name
- Fulcrum Health, INC.
- Organization subpart
- No
- Enumeration date
- Sep 4, 2007
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | – | – | Yes |
Other names
- Chiropractic Care Of Minnesota, INC. (Former Legal Business Name)
Practice location
3300 Fernbrook Lane NorthSuite 150
Plymouth, MN 55447-5350
Phone 763-204-8541 · Fax 763-204-8544
Mailing address
3300 Fernbrook Lane NorthSuite 150
Plymouth, MN 55447-5350
Phone 763-204-8541 · Fax 763-204-8544
Authorized official
Patricia Dennis
Ceo
7632048541
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