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RENA A. WIDBOOM PLLC NPI 1336587864


NPI Information

NPI: 1336587864
Provider Name: RENA A. WIDBOOM, PLLC

Doing Business As: ENCOMPASS CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
13605 27TH AVE N
PLYMOUTH, MN
ZIP 55441
Phone: (763) 559-5326
Get Directions

RENA A. WIDBOOM, PLLC is a chiropractor in Plymouth, 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. RENA A. WIDBOOM, PLLC NPI is 1336587864. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Encompass Chiropractic.

The provider's business location address is:

13605 27TH AVE N
PLYMOUTH, MN
ZIP 55441-616
Phone: (763) 559-5326

The provider's authorized official is Rena A Widboom .
The authorized official title is Owner/chiropractor and has the following contact phone number (763) 559-5326.

The enumeration date for this NPI number is 6/6/2013 and was last updated on 6/6/2013.


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
1111N00000XChiropractor5145MINNESOTAYes

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

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