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Contact Information

ELITE CHIROPRACTIC CLINIC LLC
6001 EGAN DR STE 110
SAVAGE, MN55378-4910
 Phone: 952-447-1565
 Fax: 952-447-1566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

111NX0800X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ELITE CHIROPRACTIC CLINIC LLC · (Female)

NPI # 1053500090
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2007
Last updated 10/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 4346
  • MN Medicaid 039064000
  • Other 414M3EL BLUE CROSS BLUE SHIELD MN
  • Other 414M4MC BLUE CROSS BLUE SHIELD MN
  • Other 4111508205 HSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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