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AUGUSTINE SPORTS AND FAMILY CHIROPRACTIC LLC NPI 1912304627


NPI Information

NPI: 1912304627
Provider Name: AUGUSTINE SPORTS AND FAMILY CHIROPRACTIC LLC

Doing Business As: GRAND HEALTH CHIROPRACTIC AND WELLNESS CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1025 SELBY AVE
SUITE 101
SAINT PAUL, MN
ZIP 55104
Phone: (651) 228-9000
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AUGUSTINE SPORTS AND FAMILY CHIROPRACTIC LLC is a clinic center in Saint Paul, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AUGUSTINE SPORTS AND FAMILY CHIROPRACTIC LLC NPI is 1912304627. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Health Chiropractic And Wellness Center.

The provider's business location address is:

1025 SELBY AVE
SUITE 101
SAINT PAUL, MN
ZIP 55104-533
Phone: (651) 228-9000
Fax: (651) 224-2806

The provider's authorized official is Trisha Lee Augustine .
The authorized official title is Managing Member and has the following contact phone number (952) 220-2857.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 4/27/2015.


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
1261Q00000XClinic/Center5983MINNESOTAYes

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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