| Sundial Chiropractic P.l.l.c. | |
|
5757 Sanibel Dr Ste 11, Minnetonka, MN 55343-4110 | |
| (952) 939-0297 | |
| Not Available |
| Full Name | Sundial Chiropractic P.l.l.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5757 Sanibel Dr Ste 11, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598530891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jason Macrae Jorgensen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225734684 PECOS PAC ID: 7517332729 Enrollment ID: I20230331000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Sundial Chiropractic P.l.l.c. 18068 Evener Way, Eden Prairie, MN 55346-4270 Ph: (952) 270-8161 | Sundial Chiropractic P.l.l.c. 5757 Sanibel Dr Ste 11, Minnetonka, MN 55343-4110 Ph: (952) 939-0297 |
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