Performance Chiropractic And Soft Tissue Clinic
LBN: Performance Chiropractic And Sports Clinic
Performance Chiropractic And Soft Tissue Clinic is an health care organization with primary practice located at 104 Ne 3Rd St Suite 220, Grand Rapids MN 55744. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Performance Chiropractic And Sports Clinic can be contacted via phone (218) 326-0604, or through Zachman, Adam via phone (218) 326-0604.
Contact Information
Primary practice address
104 Ne 3Rd St Suite 220
Grand Rapids MN 55744
Phone: (218) 326-0604
Fax: (218) 326-1509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4472 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | Minnesota |
Profile Details
| NPI number | 1487745477 |
|---|---|
| LBN Legal business name | Performance Chiropractic And Sports Clinic |
| DBA Doing business as | Performance Chiropractic And Soft Tissue Clinic |
| Authorized official | Zachman, Adam Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Oct 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487745477 | NPPES |
| Minnesota | MEDICAID | 120187500 |
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