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
Phone: (952) 835-4772
Fax: (763) 207-8381
Website:
Authorized official contact:
Name: Ellis, Jason Lee Doctor of Chiropractic (DC)
Phone: (952) 835-4772
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992988216 | NPPES |
Minnesota | Other | 3I334VI | BCBS |
Minnesota | Other | CC1343A | BCBS |
Minnesota | Other | 060468000 | BCBS |
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