ST BONIFACIUS CHIROPRACTIC L.L.C. (NPI# 1760966147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760966147 |
| Entity Type | Organization |
| Organization Name | ST BONIFACIUS CHIROPRACTIC L.L.C. |
| Other Organization Name | ST. BONIFACIUS CHIROPRACTIC |
| Practice Address |
4080 Tower St Ste 1080 St Bonifacius MN 55375-1144 |
| Mailing Address |
Po Box 268 St Bonifacius MN 55375-0268 |
| Practice Telephone | 9524461800 |
| Practice Fax Number | 9524461801 |
| Mailing Telephone | 9524461800 |
| Mailing Fax Number | 9524461801 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | DR. CHASE M MARTIN (OWNER) |
| Authorized Official Telephone | 7012025963 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| St. Bonifacius Chiropractic | Doing Business As Name - Organization |
| Street Address |
4080 TOWER ST STE 1080 |
| City | ST BONIFACIUS |
| State | MN |
| Zip Code | 55375-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972890291 | Chase Matthew Martin | Chiropractor | 4080 Tower St Ste 1080, St Bonifacius, MN 55375-1144 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427384478 | Vibrant Health Family Chiropractic LLC | Chiropractor | 4080 Tower Street, Suite 1080, St Bonifacius, MN 55375 | 2009-10-27 |
| 1851714257 | Chiropractic Solutions | Chiropractor | 4080 Tower Street, Suite #1080, St Bonifacius, MN 55375 | 2014-01-22 |
| 1932556206 | Lacey Machemehl | Student in an Organized Health Care Education/Training Program | 8911 Hilltop Dr, St Bonifacius, MN 55375-1188 | 2016-05-17 |
| 1215303243 | Hannah Ehalt | Registered Nurse | 8290 Kennedy Ct, St Bonifacius, MN 55375-1207 | 2015-08-13 |
| 1033455258 | Charlene Aune | Massage Therapist | 8280 Kennedy Ct, Saint Bonifacius, MN 55375-1207 | 2012-12-14 |
| 1427480037 | Tricia Anne Miller | Occupational Therapist | 3908 Pine Ln, Saint Bonifacius, MN 55375-1223 | 2013-08-06 |
| 1073734430 | Patti Jane Miller | Psychologist | 4368 Spruce Rd, St Bonifacius, MN 55375-1312 | 2007-05-02 |
| 1629422688 | Daniel Ray Miller | Marriage & Family Therapist | 4368 Spruce Rd, St Bonifacius, MN 55375-1312 | 2016-04-15 |
| 1093189490 | David Hoy & Associates, LLC | Marriage & Family Therapist | 4368 Spruce Rd, St Bonifacius, MN 55375-1312 | 2015-11-23 |
| 1922092675 | Nathan Michael Tellers | Specialist/Technologist | 4246 Spruce Rd, St Bonifacius, MN 55375-1315 | 2005-09-08 |
| Find all providers in zip 55375 | ||||
| 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 |
|---|---|---|---|---|
| 1972890291 | Chase Matthew Martin | Chiropractor | 4080 Tower St Ste 1080, St Bonifacius, MN 55375-1144 | 2011-07-07 |
| 1427384478 | Vibrant Health Family Chiropractic LLC | Chiropractor | 4080 Tower Street, Suite 1080, St Bonifacius, MN 55375 | 2009-10-27 |
| 1851714257 | Chiropractic Solutions | Chiropractor | 4080 Tower Street, Suite #1080, St Bonifacius, MN 55375 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | ST BONIFACIUS |
| Zip Code | 55375 |
Please comment or provide details below to improve the information on ST BONIFACIUS CHIROPRACTIC L.L.C..
| 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.