Simply Chiropractic, P.A.
Clinic/Center in Lake Elmo, MN. Organization (NPI-2).
NPI number1760629992
StatusActive
Last updated in NPPESOct 14, 2013
Details
- NPI
- 1760629992
- Entity type
- Organization (NPI-2)
- Legal business name
- Simply Chiropractic, P.A.
- Organization subpart
- No
- Enumeration date
- Jan 9, 2009
- Last updated
- Oct 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 4045 | MN | Yes |
Practice location
10037 Tapestry RdLake Elmo, MN 55042-6000
Phone 612-207-3112
Mailing address
10037 Tapestry RdLake Elmo, MN 55042-6000
Phone 612-207-3112
Authorized official
Amy Abrams
Owner
6122073112
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