DR. PAUL EUGENE UNDERSANDER DC NPI 1063592640

NPI Information

NPI: 1063592640
Provider Name: DR. PAUL EUGENE UNDERSANDER, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
251 COUNTY ROAD 120
SUITE B
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-3711
Get Directions

DR. Paul Eugene Undersander, DC is a chiropractor in Saint Cloud, MN. The provider is 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. DR. Paul Eugene Undersander, DC NPI is 1063592640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

251 COUNTY ROAD 120
SUITE B
SAINT CLOUD, MN
ZIP 56303-872
Phone: (320) 252-3711
Fax: (320) 240-0608

The enumeration date for this NPI number is 10/17/2006 and was last updated on 5/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		2974	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	670028400	MEDICAID	MINNESOTA
2	359000167	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
3	U-34003	MEDICARE UPIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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