Healthcare Provider Details
I. General information
NPI: 1366606857
Provider Name (Legal Business Name): 7-HI CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2008
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23640 HIGHWAY 7
EXCELSIOR MN
55331-2904
US
IV. Provider business mailing address
23640 HIGHWAY 7
EXCELSIOR MN
55331-2904
US
V. Phone/Fax
- Phone: 952-474-7402
- Fax: 952-470-1003
- Phone: 952-474-7402
- Fax: 952-470-1003
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | 356 |
| License Number State | MN |
VIII. Authorized Official
Name:
PEGGY
SUE
VOJTECH
Title or Position: OWNER
Credential: D.C.
Phone: 952-474-7402