| Organization Name: | ABUNDANT LIFE CHIROPRACTIC HEALTH CENTER PA |
| NPI Number: | 1265821706 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN ADAM KNIGHT (OWNER/OPERATOR) |
| Mailing Address: | 7945 Stone Creek Dr Ste 120 Chanhassen |
| State: | MN US |
| Postal Code: | 553174606 |
| Phone Number: | 7123894827 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2015 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 6026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |