Healthcare Provider Details

I. General information

NPI: 1912551185
Provider Name (Legal Business Name): ROMANIE HEALTH SERVICES, P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 W 74TH ST STE 9
EDINA MN
55439-2212
US

IV. Provider business mailing address

5325 W 74TH ST STE 9
EDINA MN
55439-2212
US

V. Phone/Fax

Practice location:
  • Phone: 952-835-6653
  • Fax: 952-835-3895
Mailing address:
  • Phone: 952-835-6653
  • Fax: 952-835-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW ALAN ROMANIE
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 952-835-6653