Revitalife Center

LBN: Revitalife Center, P.A.
Revitalife Center is an health care organization with primary practice located at 8097 Highway 65 Ne Ste 102 , Spring Lake Park MN 55432-4511. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Revitalife Center, P.A. can be contacted via phone (763) 710-4085, or through Pham, Linda via phone (763) 710-4085.

Contact Information

Primary practice address
8097 Highway 65 Ne Ste 102 Spring Lake Park MN 55432-4511
Phone: (763) 710-4085
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pham, Linda Doctor of Chiropractic (DC)
Phone: (763) 710-4085

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5552 Minnesota

Profile Details

NPI number 1225306608
LBN Legal business name Revitalife Center, P.A.
DBA Doing business as Revitalife Center
Authorized official Pham, Linda Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2011
Last updated Oct 25th, 2012 - 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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