Lifeline Chiropractic , P.A.

LBN: Lifeline Chiropractic , P.A.
Lifeline Chiropractic , P.A. is an health care organization with primary practice located at 2165 Woodlane Dr Suite 102, Woodbury MN 55125-2915. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Lifeline Chiropractic , P.A. can be contacted via phone (651) 735-9353, or through Hansen, Scott Durick via phone (651) 735-9353.

Contact Information

Primary practice address
2165 Woodlane Dr Suite 102 Woodbury MN 55125-2915
Phone: (651) 735-9353
Fax: (651) 735-8282
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Scott Durick Doctor of Chiropractic (DC)
Phone: (651) 735-9353

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3994 Minnesota

Profile Details

NPI number 1578621710
LBN Legal business name Lifeline Chiropractic , P.A.
DBA Doing business as
Authorized official Hansen, Scott Durick Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Sep 30th, 2008 - about 16 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 1578621710 NPPES
Minnesota MEDICAID 996448700
Minnesota Other 007J2LI

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