Dehaven Chiropractic Clinic, Inc

LBN: Dehaven Chiropractic Clinic, Inc
Dehaven Chiropractic Clinic, Inc is an health care organization with primary practice located at 4505 White Bear Pkwy Ste 2200 , White Bear Lake MN 55110-3699. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Dehaven Chiropractic Clinic, Inc can be contacted via phone (651) 429-3015, or through Dehaven, Renee K via phone (651) 429-3015.

Contact Information

Primary practice address
4505 White Bear Pkwy Ste 2200 White Bear Lake MN 55110-3699
Fax:
Website:
Authorized official contact:
Name: Dehaven, Renee K

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2585 Minnesota

Profile Details

NPI number 1851525893
LBN Legal business name Dehaven Chiropractic Clinic, Inc
DBA Doing business as
Authorized official Dehaven, Renee K
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated Mar 13th, 2023 - about last year

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 1851525893 NPPES
Minnesota Other 59969-DE BCBS

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