PARK EAST CHIROPRACTIC, PC (NPI# 1285154542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285154542 |
| Entity Type | Organization |
| Organization Name | PARK EAST CHIROPRACTIC, PC |
| Practice Address |
4632 85th Ave N Brooklyn Park MN 55443-1957 |
| Practice Telephone | (763) 494-4900 |
| Practice Fax Number | 7634944902 |
| Mailing Telephone | 7634944900 |
| Mailing Fax Number | 7634944902 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | DR. TROY FRIESEN (OWNER) |
| Authorized Official Telephone | 7634944900 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3157 | MN | Chiropractic Providers |
| Street Address |
4632 85TH AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366559379 | Troy William Friesen | Chiropractor | 4632 85th Ave N, Brooklyn Park, MN 55443-1957 | 2006-08-24 |
| 1346363264 | Troy William Friesen | Clinic/Center | 4632 85th Ave N, Brooklyn Park, MN 55443-1957 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801221411 | B.p. Spine Center, P.a. | Chiropractor | 3330 Brookdale Dr N, Brooklyn Park, MN 55443-2863 | 2013-09-13 |
| 1730450610 | Brandon Daniel Evans | Chiropractor | 9707 Evergreen Ave N, Brooklyn Park, MN 55443-1534 | 2012-01-24 |
| 1396020939 | Mobile Advantage Chiropractic | Chiropractor | 7000 62nd Ave N, Brooklyn Park, MN 55428-2970 | 2011-10-14 |
| 1336479039 | Andrew Anatoli Globa | Chiropractor | 9580 Noble Parkway North, Brooklyn Park, MN 55443 | 2010-01-04 |
| 1295966059 | Patient First, P.a. | Chiropractor | 3330 Brookdale Drive, Brooklyn Park, MN 55443-2863 | 2009-07-28 |
| 1154552925 | Michael D Mai | Chiropractor | 3330 Brookdale Drive Ave N, Brooklyn Park, MN 55443-2863 | 2009-07-28 |
| 1902086143 | Maximum Life, Inc. | Chiropractor | 8509 Jefferson Ln N, Suite 110, Brooklyn Park, MN 55445-2119 | 2007-11-05 |
| 1174720635 | Saul Chue Sao Heu | Chiropractor | 6901 78th Ave N Ste 102, Brooklyn Park, MN 55445-2720 | 2007-06-28 |
| 1467668582 | Kraig John Condon | Chiropractor | 6264 Boone Ave N, Brooklyn Park, MN 55428-2729 | 2007-05-15 |
| 1124234190 | Laura Jean Patterson | Chiropractor | 3118 Bluebell Ave N, Brooklyn Park, MN 55443-1778 | 2007-05-15 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
Please comment or provide details below to improve the information on PARK EAST CHIROPRACTIC, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.