Roth Chiropractic Clinic Ltd

LBN: Roth Chiropractic Clinic Ltd
Roth Chiropractic Clinic Ltd is an health care organization with primary practice located at 39 E Sheridan St , Ely MN 55731-1213. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty. Roth Chiropractic Clinic Ltd can be contacted via phone (218) 365-5770, or through Roth, Lars Lyle via phone (218) 365-5770.

Contact Information

Primary practice address
39 E Sheridan St Ely MN 55731-1213
Phone: (218) 365-5770
Fax: (218) 365-5770
Website:
Map and Directions
Authorized official contact:
Name: Roth, Lars Lyle Doctor of Chiropractic (DC)
Phone: (218) 365-5770

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 1263 Minnesota

Profile Details

NPI number 1558631945
LBN Legal business name Roth Chiropractic Clinic Ltd
DBA Doing business as
Authorized official Roth, Lars Lyle Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 3rd, 2012
Last updated Jan 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558631945 NPPES
Minnesota MEDICAID 908225500

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