Eagle Creek Wellness Center Llc

LBN: Eagle Creek Wellness Center Llc
Eagle Creek Wellness Center Llc is an health care organization with primary practice located at 14180 Commerce Ave Ne , Prior Lake MN 55372-1483. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Eagle Creek Wellness Center Llc can be contacted via phone (952) 447-3395, or through Anderson, Nicholas David via phone (952) 447-9935.

Contact Information

Primary practice address
14180 Commerce Ave Ne Prior Lake MN 55372-1483
Phone: (952) 447-3395
Fax: (952) 447-3396
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Nicholas David
Phone: (952) 447-9935

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC3496 Minnesota

Profile Details

NPI number 1366631244
LBN Legal business name Eagle Creek Wellness Center Llc
DBA Doing business as
Authorized official Anderson, Nicholas David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Mar 2nd, 2020 - about 4 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 1366631244 NPPES
Minnesota MEDICAID 271223700
Minnesota MEDICAID 747637000

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