MEDICARE: HEALTHPLUS CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2095	MN

General Provider Information

NPI Number	:	1578569232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHPLUS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	4080 W BROADWAY AVE
Second Line	:	STE 128
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-5605
Country	:	US
Telephone Number	:	763-535-4342
Fax Number	:	763-533-2526

Provider Business Practice Location Address
First Line	:	4080 W BROADWAY AVE
Second Line	:	STE 128
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-5605
Country	:	US
Telephone Number	:	763-535-4342
Fax Number	:	763-533-2526

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHANNON J SCORE
Credential	:	D.C.
Telephone Number	:	763-535-4342

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	08/22/2020

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Directions to “HEALTHPLUS CHIROPRACTIC ” Practice Location

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