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NORTHGATE HEALTH CLINIC P.A. NPI 1720153745


NPI Information

NPI: 1720153745
Provider Name: NORTHGATE HEALTH CLINIC, P.A.

Doing Business As: NORTHGATE CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D2085042

Address:
600 11TH AVENUE NW
ROCHESTER, MN
ZIP 55901
Phone: (507) 285-1677
Get Directions

NORTHGATE HEALTH CLINIC, P.A. is a chiropractor in Rochester, 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. NORTHGATE HEALTH CLINIC, P.A. NPI is 1720153745. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northgate Chiropractic Clinic.

The provider's business location address is:

600 11TH AVENUE NW
ROCHESTER, MN
ZIP 55901-805
Phone: (507) 285-1677
Fax: (507) 285-0052

The provider's authorized official is Todd Jay Buchanan .
The authorized official title is Owner and has the following contact phone number (507) 285-1677.

The CLIA number assigned to this NPI record is 24D2085042 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 12/18/2019.


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
1111N00000XChiropractor2236753MINNESOTAYes

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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