MOBILE ADVANTAGE CHIROPRACTIC (NPI# 1396020939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396020939 |
Entity Type | Organization |
Organization Name | MOBILE ADVANTAGE CHIROPRACTIC |
Practice Address |
7000 62nd Ave N Brooklyn Park MN 55428-2970 |
Mailing Address |
15645 50th St Ne Saint Michael MN 55376-3264 |
Practice Telephone | 7635339389 |
Enumeration Date | 2011-10-14 |
Last Update Date | 2011-10-14 |
Authorized Official Name | DR. GUY MARTIN (OWNER) |
Authorized Official Telephone | 7634287551 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3390 | MN | Chiropractic Providers |
Street Address |
7000 62ND AVE N |
City | BROOKLYN PARK |
State | MN |
Zip Code | 55428-2970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
Find all providers in zip 55428 |
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 |
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 |
1801938147 | Joseph Seong Lee | Chiropractor | 8058 Brooklyn Blvd, Brooklyn Park, MN 55445-2407 | 2007-02-13 |
Find all providers in BROOKLYN PARK |
City | BROOKLYN PARK |
Zip Code | 55428 |
Please comment or provide details below to improve the information on MOBILE ADVANTAGE CHIROPRACTIC.
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.