Davis Chiropractic | |
5050 W 36th St Ste 100 St Louis Park MN 55416-5470 | |
(952) 925-4085 | |
(952) 925-1394 |
Full Name | Davis Chiropractic |
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Speciality | Clinic/Center |
Location | 5050 W 36th St Ste 100, St Louis Park, Minnesota |
Authorized Official Name and Position | Jeremy Jay Nielson (CEO) |
Authorized Official Contact | 9529254085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Davis Chiropractic 5050 W 36th St Ste 100 St Louis Park MN 55416-5470 Ph: (952) 925-4085 | Davis Chiropractic 5050 W 36th St Ste 100 St Louis Park MN 55416-5470 Ph: (952) 925-4085 |
NPI Number | 1467736231 |
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Provider Enumeration Date | 09/28/2011 |
Last Update Date | 10/24/2022 |
Medicare PECOS PAC ID | 0648446930 |
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Medicare Enrollment ID | O20120109000699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467736231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Troy W Bjorklund |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316071384 PECOS PAC ID: 3678546504 Enrollment ID: I20040819000232 |
Provider Name | Jeremy Nielson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831405703 PECOS PAC ID: 8527245604 Enrollment ID: I20110527000429 |
Provider Name | Melissa J Mccarthy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881982858 PECOS PAC ID: 1759551880 Enrollment ID: I20110829000670 |
Provider Name | Melanie Elizabeth Franke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740342765 PECOS PAC ID: 4981798428 Enrollment ID: I20180630000067 |
Provider Name | Travis G Gilbertson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720595481 PECOS PAC ID: 5395094213 Enrollment ID: I20180824002491 |
Provider Name | Janna M Neher |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093299729 PECOS PAC ID: 5991058349 Enrollment ID: I20181101000008 |
Provider Name | Bethany C Rathmanner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245725654 PECOS PAC ID: 1153673322 Enrollment ID: I20181127000055 |
Provider Name | Tori Carroll |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780244632 PECOS PAC ID: 5496081945 Enrollment ID: I20190723000114 |
Provider Name | Laura Elizabeth Whiteley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942778055 PECOS PAC ID: 3577891043 Enrollment ID: I20190821002810 |
Provider Name | Ashley Snyder |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1073086138 PECOS PAC ID: 1850629098 Enrollment ID: I20190826001763 |
Provider Name | Cianna Ashley Richardson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407161847 PECOS PAC ID: 3476748203 Enrollment ID: I20210428001012 |
Provider Name | Erika Spampinato |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265013825 PECOS PAC ID: 0345640736 Enrollment ID: I20210607000280 |
Provider Name | Theresa Schiebel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558946665 PECOS PAC ID: 5698177137 Enrollment ID: I20210707001456 |
Provider Name | Kevin Vonruden |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144897729 PECOS PAC ID: 8820490154 Enrollment ID: I20210709000503 |
Provider Name | Brett Black |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124619713 PECOS PAC ID: 8224434204 Enrollment ID: I20210831002789 |
Provider Name | Ethan Hedges Capers |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760024509 PECOS PAC ID: 4981000106 Enrollment ID: I20210913002735 |
Provider Name | Danielle Weigel |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528711470 PECOS PAC ID: 8921492687 Enrollment ID: I20220223002795 |
Provider Name | Renee Choquette |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477206191 PECOS PAC ID: 4688051683 Enrollment ID: I20220512002104 |
Provider Name | Jacob Fixell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881336469 PECOS PAC ID: 3072992627 Enrollment ID: I20220628001859 |
Provider Name | Nathaniel Meidl |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285223974 PECOS PAC ID: 0244613792 Enrollment ID: I20220816000708 |
Provider Name | Alicia Nicole Meyer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881325017 PECOS PAC ID: 0345623583 Enrollment ID: I20220819002346 |
Provider Name | Logan Randall Ecklund |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053063560 PECOS PAC ID: 8628452760 Enrollment ID: I20220908002025 |
Provider Name | Megan Francisco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003536434 PECOS PAC ID: 3870979610 Enrollment ID: I20221003001756 |
Provider Name | Zoey Lyn Stewart |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932823531 PECOS PAC ID: 3678949856 Enrollment ID: I20221012002764 |
Provider Name | Zackary W Eliason |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700507670 PECOS PAC ID: 1254707326 Enrollment ID: I20221013002608 |
Provider Name | Katherine Salazar |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366034035 PECOS PAC ID: 4183094725 Enrollment ID: I20221223000499 |
Provider Name | Erica Friebel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093307423 PECOS PAC ID: 6305251646 Enrollment ID: I20230602001021 |
Provider Name | Matthew Urmanski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184314700 PECOS PAC ID: 6709244155 Enrollment ID: I20230616003163 |
Provider Name | Dylan English |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982488698 PECOS PAC ID: 0941664502 Enrollment ID: I20230914003070 |
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