Lakeside Chiropractic Llc

LBN: Lakeside Chiropractic Llc
Lakeside Chiropractic Llc is an health care organization with primary practice located at 6885 Boudin St Ne Ste 200 , Prior Lake MN 55372-2091. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Lakeside Chiropractic Llc can be contacted via phone (651) 583-8971, or through Wears, Connor Thomas via phone (651) 583-8971.

Contact Information

Primary practice address
6885 Boudin St Ne Ste 200 Prior Lake MN 55372-2091
Fax: (612) 712-3023
Website:
Authorized official contact:
Name: Wears, Connor Thomas Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1144063447
LBN Legal business name Lakeside Chiropractic Llc
DBA Doing business as
Authorized official Wears, Connor Thomas Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2024
Last updated Jun 14th, 2024 - about 5 months 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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