CHIROPRACTIC AND WELLNESS CENTER OF ALBERTVILLE PLLC (NPI# 1770802019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770802019 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC AND WELLNESS CENTER OF ALBERTVILLE PLLC |
| Practice Address |
5676 Lacentre Avenue Ne Suite 202 Albertville MN 55301 |
| Mailing Address |
5676 Lacentre Ave Suite 204 Albertville MN 55301 |
| Practice Telephone | 7634970777 |
| Practice Fax Number | 7634975377 |
| Mailing Telephone | 7634970777 |
| Mailing Fax Number | 7634975377 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | ANDREW KONZ (OWNER) |
| Authorized Official Telephone | 7634970777 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 111N00000X | Chiropractor | 5292 | MN | Chiropractic Providers |
| Street Address |
5676 LACENTRE AVENUE NE SUITE 202 |
| City | ALBERTVILLE |
| State | MN |
| Zip Code | 55301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127373 | Shanda Gwen Gaunt | Speech-Language Pathologist | 11091 Jasen Ave Ne Suite 2, Courage Kenny Rehabilitation Institute Albertville Part, Albertville, MN 55301 | 2016-11-30 |
| 1124478110 | Chiropractic and Wellness Center of Albertville | Chiropractor | 5676 Lacentre Ave., Suite 204, Albertville, MN 55301 | 2016-06-21 |
| 1184073157 | Keith Henry Diers | Physical Therapist | 11091 Jason Ave Nw, Suite 2, Albertville, MN 55301 | 2016-06-09 |
| 1154613479 | Francis Ogeto Raini | Nurse Practitioner | 7046 Lambert Lane Ne, Albertville, MN 55301 | 2011-05-04 |
| 1508054339 | Andrea Lynn Anderson | Pharmacist | 5698 Lacentre Ave Ne, Albertville, MN 55301 | 2007-10-05 |
| 1235311853 | Now Care Medical Centers | Clinic/Center | 11091 Jason Ave Ne, Albertville, MN 55301 | 2007-12-05 |
| 1205022845 | Stellis Health, Pa | Clinic/Center | 11091 Jason Ave Ne, Albertville, MN 55301 | 2007-09-18 |
| 1902080518 | Heidi Sawdey | Chiropractor | 5676 Lacentre Avenue, Albertville, MN 55301-0000 | 2007-12-19 |
| 1275863508 | Lori Hunt | Community Health Worker | 10482 64th Way, Albertville, MN 55301-3517 | 2010-01-08 |
| 1194984070 | Brian Carl Peterson | Physical Therapy Assistant | 10439 64th Ln Ne, Albertville, MN 55301-3533 | 2008-06-05 |
| Find all providers in zip 55301 | ||||
| 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 |
|---|---|---|---|---|
| 1306375167 | Michael Wotschke | Chiropractor | 5676 La Centre Ave Ste 204, Albertville, MN 55301-4023 | 2017-06-06 |
| 1124478110 | Chiropractic and Wellness Center of Albertville | Chiropractor | 5676 Lacentre Ave., Suite 204, Albertville, MN 55301 | 2016-06-21 |
| 1962711598 | Giles Francis Stifter | Chiropractor | 10904 57th Ave Ne, Suite 107, Albertville, MN 55301-9775 | 2010-09-30 |
| 1902080518 | Heidi Sawdey | Chiropractor | 5676 Lacentre Avenue, Albertville, MN 55301-0000 | 2007-12-19 |
| 1043351216 | Rodd Lee Underkofler | Chiropractor | 8610 Us Highway 431, Albertville, AL 35950-0153 | 2007-02-09 |
| 1336201870 | Jon Alan Smith | Chiropractor | 200 East Sand Mountain Drive, Suite B, Albertville, AL 35950 | 2006-12-14 |
| 1841359775 | John Thomas Wallace | Chiropractor | 3314 Us Highway 431, Albertville, AL 35950 | 2006-12-06 |
| 1134296486 | Apex Chiropractic of Albertville | Chiropractor | 5676 La Centre Ave, Suite 202, Albertville, MN 55301-4022 | 2006-11-30 |
| 1093801912 | Eddie P Petry | Chiropractor | 700 Al Highway 75 N, Albertville, AL 35951-4014 | 2006-10-05 |
| 1588773097 | Fontaine Chiropractic Wellness Center | Chiropractor | 623 Baltimore Ave, Albertville, AL 35950-2976 | 2006-08-29 |
| Find all providers in ALBERTVILLE | ||||
| City | ALBERTVILLE |
| Zip Code | 55301 |
Please comment or provide details below to improve the information on CHIROPRACTIC AND WELLNESS CENTER OF ALBERTVILLE PLLC.
| 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.