Healthcare Provider Details
I. General information
NPI: 1235509506
Provider Name (Legal Business Name): ANDREW ARMELI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/30/2015
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2424 49TH ST E
INVER GROVE HEIGHTS MN
55076-1157
US
IV. Provider business mailing address
855 VIKINGS PKWY STE C
EAGAN MN
55121-1139
US
V. Phone/Fax
- Phone: 651-459-2225
- Fax: 651-458-8037
- Phone: 651-688-0736
- Fax: 651-688-7990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 6121 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: