Healthcare Provider Details

I. General information

NPI: 1942438692
Provider Name (Legal Business Name): P.M.M. ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 09/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 GRANT AVENUE
EVELETH MN
55734
US

IV. Provider business mailing address

227 GRANT AVENUE
EVELETH MN
55734
US

V. Phone/Fax

Practice location:
  • Phone: 218-744-1910
  • Fax: 218-744-5397
Mailing address:
  • Phone: 218-744-1910
  • Fax: 218-744-5397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL M. MAKI
Title or Position: OWNER/ OPERATOR
Credential: DC
Phone: 218-744-1910