Vitality Life Chiropractic, Llc

LBN: Vitality Life Chiropractic, Llc
Vitality Life Chiropractic, Llc is an health care organization with primary practice located at 7250 France Ave S 300A, Edina MN 55435-5173. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Vitality Life Chiropractic, Llc can be contacted via phone (952) 835-4772, or through Ellis, Jason Lee via phone (952) 835-4772.

Contact Information

Primary practice address
7250 France Ave S 300A Edina MN 55435-5173
Fax: (763) 207-8381
Website:
Authorized official contact:
Name: Ellis, Jason Lee Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4989 Minnesota

Profile Details

NPI number 1992988216
LBN Legal business name Vitality Life Chiropractic, Llc
DBA Doing business as
Authorized official Ellis, Jason Lee Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2007
Last updated Oct 30th, 2017 - about 7 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 1992988216 NPPES
Minnesota Other 3I334VI BCBS
Minnesota Other CC1343A BCBS
Minnesota Other 060468000 BCBS

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