Healthcare Provider Details

I. General information

NPI: 1548229099
Provider Name (Legal Business Name): CARING CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 08/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W HIGHWAY 61
GRAND MARAIS MN
55604-2333
US

IV. Provider business mailing address

17 HAWK LN
GRAND MARAIS MN
55604-0009
US

V. Phone/Fax

Practice location:
  • Phone: 218-244-5939
  • Fax:
Mailing address:
  • Phone: 218-244-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2976
License Number StateMN

VIII. Authorized Official

Name: DR. ROBERT J VORNBROCK
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 218-244-5939