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Contact Information

BOULEVARD CHIROPRACTIC CLINIC, P.A.
7200 MINNETONKA BLVD
SAINT LOUIS PARK, MN55426-3210
 Phone: 952-925-4847
 Fax: 952-925-4211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

111NX0800X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BOULEVARD CHIROPRACTIC CLINIC PA · (Female)

NPI # 1568544864
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2006
Last updated 12/09/2013 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 1266
  • MN Medicaid 479324200
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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