Organization Name: | INFINITE WELLNESS CHIROPRACTIC, PA |
NPI Number: | 1013160233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL MCDONALD (PRESIDENT) |
Mailing Address: | 21308 John Milless Dr Suite 104 Rogers |
State: | MN US |
Postal Code: | 553744708 |
Phone Number: | 7634385450 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2008 |
NPI Last Update Date: | 10/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 9474697 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |