Chiropractic Performance Center, Pa

LBN: Chiropractic Performance Center, Pa
Chiropractic Performance Center, Pa is an health care organization with primary practice located at 2380 Troop Drive Sutie 201, Sartell MN 56377-4637. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Chiropractic Performance Center, Pa can be contacted via phone (320) 255-0961, or through Cuperus, Sara Jean via phone (320) 255-0961.

Contact Information

Primary practice address
2380 Troop Drive Sutie 201 Sartell MN 56377-4637
Fax: (320) 258-4001
Website:
Authorized official contact:
Name: Cuperus, Sara Jean Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 786 Minnesota

Profile Details

NPI number 1144429283
LBN Legal business name Chiropractic Performance Center, Pa
DBA Doing business as
Authorized official Cuperus, Sara Jean Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2007
Last updated Jan 4th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144429283 NPPES
Minnesota Other 350002734 MEDICARE INDIVIDUAL #
Minnesota Other 332J9KL MEDICARE INDIVIDUAL #
Minnesota Other 331J2CH MEDICARE INDIVIDUAL #
Minnesota MEDICAID 777641100 MEDICARE INDIVIDUAL #
Minnesota Other 965001033012 MEDICARE INDIVIDUAL #
Minnesota Other C03940 MEDICARE INDIVIDUAL #

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