Doctor Name: | DR. JEREMY LEE BISCHOFF |
NPI Number: | 1205160991 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 4481-012 |
Business Practice Address: | 8380 City Centre Dr Ste 180 Woodbury, MN - 551255312 |
Business Phone Number: | 9529941425 |
Business Fax Number: | |
Mailing Address: | 8380 City Centre Dr Ste 180, WOODBURY |
State: | MN |
Postal Code: | 551255312 |
Phone Number: | 9529941425 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2009 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4481-012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |