Wildwood Chiropractic Center Pa
LBN: Wildwood Chiropractic Center Pa
Wildwood Chiropractic Center Pa is an health care organization with primary practice located at 935 Wildwood Rd , White Bear Lake MN 55115-1847. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Wildwood Chiropractic Center Pa can be contacted via phone (651) 779-4263, or through Napoli, Patrick Gerard via phone (651) 779-4263.
Contact Information
Primary practice address
935 Wildwood Rd
White Bear Lake MN 55115-1847
Phone: (651) 779-4263
Fax: (651) 779-4274
Website:
Authorized official contact:
Name: Napoli, Patrick Gerard Doctor of Chiropractic (DC)
Phone: (651) 779-4263
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Minnesota |
Profile Details
| NPI number | 1306827118 |
|---|---|
| LBN Legal business name | Wildwood Chiropractic Center Pa |
| DBA Doing business as | |
| Authorized official | Napoli, Patrick Gerard Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Feb 22nd, 2010 - about 14 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 | 1306827118 | NPPES |
| Minnesota | Other | 4261 | JOHN MACK LICENSE |
| Minnesota | MEDICAID | 047 828 800 | JOHN MACK LICENSE |
| Minnesota | Other | 3150 | JOHN MACK LICENSE |
| Minnesota | MEDICAID | 354 278 500 | JOHN MACK LICENSE |
| Minnesota | MEDICAID | 367 817 200 | JOHN MACK LICENSE |
| Minnesota | MEDICAID | 549 027 800 | JOHN MACK LICENSE |
| Minnesota | Other | 2329 | JOHN MACK LICENSE |
| Minnesota | Other | 3051 | JOHN MACK LICENSE |
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