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Contact Information

FORWARD SPINE CENTER LLC
701 DECATUR AVE N STE 102
GOLDEN VALLEY, MN55427-4363
 Phone: 763-332-2680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for FORWARD SPINE CENTER LLC

NPI # 1114517380
LBN Legal business name FORWARD SPINE CENTER LLC
Authorized official TIMOTHY KLESK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/21/2021
Last updated 11/06/2025 - About 7 months ago
Identifiers n/a
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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