PURE CHIROPRACTIC, PA (NPI# 1528258068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528258068 |
| Entity Type | Organization |
| Organization Name | PURE CHIROPRACTIC, PA |
| Practice Address |
404 W Superior St Suite 225 C Duluth MN 55802-1559 |
| Mailing Address |
404 W Superior St Ste 225 C Duluth MN 55802-1559 |
| Practice Telephone | 2187404321 |
| Practice Fax Number | 2187404322 |
| Mailing Telephone | 2187404321 |
| Mailing Fax Number | 2187404322 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |
| Authorized Official Name | DR. ERICK RUSSELL ANDERSON (OWNER) |
| Authorized Official Telephone | 2187404321 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3803 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 68492900 | 05 |
| Street Address |
404 W SUPERIOR ST SUITE 225 C |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548446545 | Naturally Chiropractic, P.a. | Clinic/Center | 404 W Superior St, Suite 225c, Duluth, MN 55802-1559 | 2008-01-21 |
| 1023203957 | Stephanie Michelle West | Chiropractor | 404 W Superior St, Suite 225c, Duluth, MN 55802-1559 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| 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 |
|---|---|---|---|---|
| 1164034591 | Chantelle Frazier | Chiropractor | 2131 Pleasant Hill Rd Ste 122, Duluth, GA 30096-4657 | 2020-08-18 |
| 1396371571 | Northern Lakes Chiropractic LLC | Chiropractor | 2340 Mountain Shadow Dr, Duluth, MN 55811-3809 | 2020-03-19 |
| 1578113973 | Chester Creek Chiropractic | Chiropractor | 1324 E 4th St Ste A, Duluth, MN 55805-2335 | 2019-09-17 |
| 1467007997 | Pleasant Hill Chiropractic | Chiropractor | 4390 Pleasant Hill Rd Ste G, Duluth, GA 30096-8054 | 2019-08-01 |
| 1851951024 | Marian Denisse Ortiz Rodriguez | Chiropractor | 3775 Venture Dr Bldg F, Duluth, GA 30096-5102 | 2019-06-19 |
| 1396234613 | Sangsoo Lee | Chiropractor | 2148 Duluth Highway 120 Ste 110, Duluth, GA 30097-4504 | 2018-05-02 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1942708235 | Kyle Severson | Chiropractor | 224 E Central Entrance Ste C, Duluth, MN 55811-5518 | 2018-02-01 |
| 1669987228 | Frances Hearn | Chiropractor | 2719 Irene Cir, Duluth, GA 30096-4149 | 2017-12-05 |
| 1467966911 | Corey Steven Milbrandt | Chiropractor | 925 E Superior St Ste 112, Duluth, MN 55802-2253 | 2017-11-20 |
| Find all providers in DULUTH | ||||
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| 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.