Organization · NPI-2

Alex Anders- Cook D.C., A Life Clinic Corporation

Chiropractor · Roseville, CA

NPI number1639718547
StatusActive
Last updated in NPPESDec 26, 2019

Details

NPI
1639718547
Entity type
Organization (NPI-2)
Legal business name
Alex Anders- Cook D.C., A Life Clinic Corporation
Organization subpart
No
Enumeration date
Dec 26, 2019
Certification date
Dec 26, 2019
Last updated
Dec 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1435 E Roseville Pkwy
Roseville, CA 95661-3066

Phone 952-229-7464

Mailing address

Po Box 549
Chanhassen, MN 55317-0549

Authorized official

Alex Anders
Owner
9522297464

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