OTSEGO WEST CHIROPRACTIC NPI 1518121656

NPI Information

  • NPI: 1518121656
  • Provider Name: OTSEGO WEST CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 16201 90TH ST NE
    SUITE 205
    OTSEGO, MN
    ZIP 55330
  • Phone: (763) 229-2552

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NPI Details

OTSEGO WEST CHIROPRACTIC is a chiropractor in Otsego, 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. OTSEGO WEST CHIROPRACTIC NPI is 1518121656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16201 90TH ST NE
SUITE 205
OTSEGO, MN
ZIP 55330-438
Phone: (763) 229-2552

The provider's authorized official is Dennis Stull .
The authorized official title is President and has the following contact phone number (763) 229-2552.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.

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
1111N00000XChiropractor4775MINNESOTAYes

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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