National Provider Identifier Database

CENTRAL CHIROPRACTIC ACUPUNCTURE 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

CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.
1342 81ST AVE NE
SPRING LAKE PARK, MN55432-2116
Phone: 763-784-3916
Fax: 763-784-3829
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.

NPI Number 1710902028
Legal business name
LBN
CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.
Authorized official MICHAEL KOHOUT - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/13/2006
Last updated 04/10/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 114
  • MN License #: 2616
  • MN Other: 4C916KO BCBS OF MN

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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