PREMIER HEALTH OF COON RAPIDS INC NPI 1073915732

NPI Information

  • NPI: 1073915732
  • Provider Name: PREMIER HEALTH OF COON RAPIDS, INC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 3340 NORTHDALE BLVD NW
    SUITE 120
    COON RAPIDS, MN
    ZIP 55448
  • Phone: (763) 270-5828

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NPI Details

PREMIER HEALTH OF COON RAPIDS, INC is a chiropractor in Coon Rapids, 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. PREMIER HEALTH OF COON RAPIDS, INC NPI is 1073915732. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3340 NORTHDALE BLVD NW
SUITE 120
COON RAPIDS, MN
ZIP 55448-622
Phone: (763) 270-5828
Fax: (763) 270-5849

The provider's authorized official is Kelsey Chmiel .
The authorized official title is Co-owner and has the following contact phone number (763) 270-5828.

The enumeration date for this NPI number is 9/24/2014 and was last updated on 9/15/2020.

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
1111N00000XChiropractor5855MINNESOTAYes

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 Other Provider Identifier Issuer
11386068658MEDICAIDMINNESOTA

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: 3/30/2025

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