Integrated Chiropractic Services

LBN: Integrated Chiropractic Services
Integrated Chiropractic Services is an health care organization with primary practice located at 4422 White Bear Ave N , White Bear Lake MN 55110-3475. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Integrated Chiropractic Services can be contacted via phone (651) 287-8780, or through Venables, Brent David via phone (651) 287-8780.

Contact Information

Primary practice address
4422 White Bear Ave N White Bear Lake MN 55110-3475
Phone: (651) 287-8780
Fax: (651) 287-8786
Website:
Map and Directions
Authorized official contact:
Name: Venables, Brent David Doctor of Chiropractic (DC)
Phone: (651) 287-8780

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3592 Minnesota

Profile Details

NPI number 1538468293
LBN Legal business name Integrated Chiropractic Services
DBA Doing business as
Authorized official Venables, Brent David Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2011
Last updated Mar 21st, 2011 - about 13 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 1538468293 NPPES
Minnesota MEDICAID 822520600

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