National Provider Identifier Database

ELEVATED HEALTH CENTER
Pediatric Chiropractor

The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.


Contact Information

ELEVATED HEALTH CENTER
10705 TOWN SQUARE DR NE
STE 220
BLAINE, MN55449-8184
Phone: 651-216-1997
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Chiropractor 111NP0017X
Rehabilitation 111NR0400X

* Indicates primary specialty

NPI Profile & details for ELEVATED HEALTH CENTER

NPI Number 1033526538
Legal business name
LBN
ELEVATED HEALTH CENTER
Authorized official DAVID OOMMEN - (DOCTOR/OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/16/2014
Last updated 07/16/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 5551

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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