MEDICARE: CHIROCENTER MN, INC.

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	2266	MN

General Provider Information

NPI Number	:	1750673117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROCENTER MN, INC.

Provider Business Mailing Address
First Line	:	1936 LYNDALE AVE S STE 100
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-3101
Country	:	US
Telephone Number	:	612-874-1313
Fax Number	:	612-874-6767

Provider Business Practice Location Address
First Line	:	1936 LYNDALE AVE S STE 100
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-3101
Country	:	US
Telephone Number	:	612-874-1313
Fax Number	:	612-874-6767

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ELIIZABETH J BERG
Credential	:	D.C.
Telephone Number	:	612-874-1313

Provider Enumeration Date	:	05/04/2011
Last Update Date	:	11/26/2024

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Directions to “CHIROCENTER MN, INC. ” Practice Location

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