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Contact Information

JLA CORPORATION
5009 EXCELSIOR BLVD
SAINT LOUIS PARK, MN55416-3041
 Phone: 612-799-7982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JLA CORPORATION

NPI Number 1053615559
LBN Legal business name JLA CORPORATION
Authorized official JONATHAN ARNOLD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2010
Last updated 03/15/2012 - About 14 years ago
Identifiers
MN License # 5074
MN License # 855
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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