Northside Chiropractic Clinic Ltd

LBN: Northside Chiropractic Clinic Ltd
Northside Chiropractic Clinic Ltd is an health care organization with primary practice located at 3107 Penn Ave N , Minneapolis MN 55411-1123. The organization recently has only one registered license in Chiropractic Providers / Independent Medical Examiner, which is considered as the primary health care specialty. Northside Chiropractic Clinic Ltd can be contacted via phone (612) 522-0440, or through Olson, Greg T via phone (612) 522-0440.

Contact Information

Primary practice address
3107 Penn Ave N Minneapolis MN 55411-1123
Phone: (612) 522-0440
Fax: (612) 522-1816
Website:
Map and Directions
Authorized official contact:
Name: Olson, Greg T Doctor of Chiropractic (DC)
Phone: (612) 522-0440

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Independent Medical Examiner 111NI0013X 2197 Minnesota

Profile Details

NPI number 1689017097
LBN Legal business name Northside Chiropractic Clinic Ltd
DBA Doing business as
Authorized official Olson, Greg T Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2013
Last updated Jul 10th, 2013 - about 11 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 1689017097 NPPES
Minnesota MEDICAID 890828100

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