Healthcare Provider Details
I. General information
NPI: 1740453968
Provider Name (Legal Business Name): SILVER VIEW CHIROPRACTIC CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2008
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4137 WOODLAND ROAD
LEXINGTON MN
55014-3529
US
IV. Provider business mailing address
4137 WOODLAND ROAD
LEXINGTON MN
55014-3529
US
V. Phone/Fax
- Phone: 763-786-5581
- Fax: 763-784-5349
- Phone: 763-786-5581
- Fax: 763-784-5349
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2364 |
| License Number State | MN |
VIII. Authorized Official
Name: DR.
GREGORY
BLAINE
BELTING
Title or Position: PRESIDENT
Credential: DC
Phone: 763-786-5581