Lake Marion Chiropractic Center Pa

LBN: Lake Marion Chiropractic Center Pa
Lake Marion Chiropractic Center Pa is an health care organization with primary practice located at 20176 Heritage Dr , Lakeville MN 55044-6855. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Lake Marion Chiropractic Center Pa can be contacted via phone (952) 469-8385, or through Couillard, Craig Alan via phone (952) 469-8385.

Contact Information

Primary practice address
20176 Heritage Dr Lakeville MN 55044-6855
Fax: (952) 469-1713
Website:
Authorized official contact:
Name: Couillard, Craig Alan Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3955 Minnesota

Profile Details

NPI number 1225115405
LBN Legal business name Lake Marion Chiropractic Center Pa
DBA Doing business as
Authorized official Couillard, Craig Alan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 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 1225115405 NPPES
Minnesota Other 1497741185 NPI # INDIVIDUAL

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