Sjdc Ltd.
Chiropractor in Plymouth, MN. Organization (NPI-2).
NPI number1033239488
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1033239488
- Entity type
- Organization (NPI-2)
- Legal business name
- Sjdc Ltd.
- Organization subpart
- No
- Enumeration date
- Mar 30, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 03050 | MN | Yes |
Practice location
10700 County Road 15Suite 240
Plymouth, MN 55441-6101
Phone 763-544-2001
Mailing address
10700 County Road 15Suite 240
Plymouth, MN 55441-6101
Phone 763-544-2001
Authorized official
Stephen T Johnson
President
7635442001
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