Premier Health Of Roseville, Ltd

LBN: Premier Health Of Roseville, Ltd
Premier Health Of Roseville, Ltd is an health care organization with primary practice located at 1601 Larpenteur Ave , St Paul MN 55113. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Premier Health Of Roseville, Ltd can be contacted via phone (651) 487-2198, or through Koehler, Eric Gordon via phone (651) 487-2198.

Contact Information

Primary practice address
1601 Larpenteur Ave St Paul MN 55113
Phone: (651) 487-2198
Fax: (651) 646-0283
Website:
Map and Directions
Authorized official contact:
Name: Koehler, Eric Gordon Doctor of Chiropractic (DC)
Phone: (651) 487-2198

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1770792400
LBN Legal business name Premier Health Of Roseville, Ltd
DBA Doing business as
Authorized official Koehler, Eric Gordon Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Jul 17th, 2013 - about 12 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 1770792400 NPPES
Minnesota MEDICAID 761153600

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