Corcoran Family Chiropractic

LBN: Corcoran Family Chiropractic
Corcoran Family Chiropractic is an health care organization with primary practice located at 1267 Stryker Ave , Saint Paul MN 55118-2220. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Corcoran Family Chiropractic can be contacted via phone (651) 797-2376, or through Corcoran, Nicholle Diane via phone (651) 797-2376.

Contact Information

Primary practice address
1267 Stryker Ave Saint Paul MN 55118-2220
Fax: (651) 797-2376
Website:
Authorized official contact:
Name: Corcoran, Nicholle Diane Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4779 Minnesota

Profile Details

NPI number 1407987415
LBN Legal business name Corcoran Family Chiropractic
DBA Doing business as
Authorized official Corcoran, Nicholle Diane Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jun 13th, 2008 - about 17 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 1407987415 NPPES
Minnesota MEDICAID 876455000

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