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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DYNAMIC FAMILY CHIROPRACTIC PA

NPI Number 1427186907
LBN Legal business name DYNAMIC FAMILY CHIROPRACTIC PA
Authorized official ANDREW LUING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 03/04/2008 - About 18 years ago
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 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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