Your Life Chiropractic, P.A.

LBN: Your Life Chiropractic, P.A.
Your Life Chiropractic, P.A. is an health care organization with primary practice located at 103 Center Dr Suite 200, Buffalo MN 55313-2957. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Your Life Chiropractic, P.A. can be contacted via phone (763) 682-0611, or through Louisiana, Maudie Rae via phone (763) 682-0611.

Contact Information

Primary practice address
103 Center Dr Suite 200 Buffalo MN 55313-2957
Fax: (763) 682-0788
Website:
Authorized official contact:
Name: Louisiana, Maudie Rae Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 581 Minnesota

Profile Details

NPI number 1891838728
LBN Legal business name Your Life Chiropractic, P.A.
DBA Doing business as
Authorized official Louisiana, Maudie Rae Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1891838728 NPPES
Minnesota Other 62M57DE BLUE CROSS BLUE SHIELD

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