Evolve Chiropractic Llc | |
11820 Ulysses St Ne, Suite 140, Blaine, MN 55434 | |
(763) 330-1100 | |
Not Available |
Full Name | Evolve Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11820 Ulysses St Ne, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821763434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Alec Jon Nassirzadeh |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285309898 PECOS PAC ID: 0446643621 Enrollment ID: I20220210002629 |
Mailing Address | Practice Location Address |
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Evolve Chiropractic Llc 290 Market St Unit 611, Minneapolis, MN 55405-1685 Ph: (763) 330-1100 | Evolve Chiropractic Llc 11820 Ulysses St Ne, Suite 140, Blaine, MN 55434 Ph: (763) 330-1100 |
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