National Provider Identifier Database

DYNAMIC FAMILY CHIROPRACTIC PA
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

DYNAMIC FAMILY CHIROPRACTIC PA
4739 COUNTY ROAD 101
MINNETONKA, MN55345-2634
Phone: 952-933-2695
Fax: 952-933-2763
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Rehabilitation 111NR0400X

* Indicates primary specialty

NPI Profile & details for DYNAMIC FAMILY CHIROPRACTIC PA

NPI Number 1427186907
Legal business name
LBN
DYNAMIC FAMILY CHIROPRACTIC PA
Authorized official ANDREW LUING - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2007
Last updated 03/04/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 3475
  • MN License #: 4012
  • MN Other: 325J4MI BLUE CROSS BLUE SHIELD
  • MN Other: 6C437LU BLUE CROSS BLUE SHIELD
  • MN Other: 6C438LU BLUE CROSS BLUE SHIELD

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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