Four Seasons Family Chiropractic Clinic

LBN: Four Seasons Family Chiropractic Clinic
Four Seasons Family Chiropractic Clinic is an health care organization with primary practice located at 4455 Hwy 169 N Ste 200, Plymouth MN 55442. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Four Seasons Family Chiropractic Clinic can be contacted via phone (763) 557-9032, or through Shinder, Michael Bradley via phone (763) 557-9032.

Contact Information

Primary practice address
4455 Hwy 169 N Ste 200 Plymouth MN 55442
Phone: (763) 557-9032
Fax: (763) 557-9838
Website:
Map and Directions
Authorized official contact:
Name: Shinder, Michael Bradley
Phone: (763) 557-9032

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2411 Minnesota

Profile Details

NPI number 1518174218
LBN Legal business name Four Seasons Family Chiropractic Clinic
DBA Doing business as
Authorized official Shinder, Michael Bradley
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Apr 29th, 2010 - about 14 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 1518174218 NPPES
Minnesota Other 350002447 MEDICARE
Minnesota Other 60627FO MEDICARE
Minnesota MEDICAID 191028100 MEDICARE

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