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Contact Information

SUMMIT WELLNESS CENTER
6776 LAKE DR
SUITE 210
LINO LAKES, MN55014-1191
 Phone: 651-340-7511
 Fax: 651-340-7849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SUMMIT WELLNESS CENTER · (Female)

NPI Number 1407144579
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2011
Last updated 04/05/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 5551
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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