Healthcare Provider Details

I. General information

NPI: 1427482314
Provider Name (Legal Business Name): HEALTHPLUS CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4080 W BROADWAY AVE SUITE 128
ROBBINSDALE MN
55422-5604
US

IV. Provider business mailing address

4080 W BROADWAY AVE SUITE 128
ROBBINSDALE MN
55422-5604
US

V. Phone/Fax

Practice location:
  • Phone: 763-535-4342
  • Fax: 763-533-2526
Mailing address:
  • Phone: 763-535-4342
  • Fax: 763-533-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4965
License Number StateMN

VIII. Authorized Official

Name: DR. PATRICIA A. WOLFF
Title or Position: PRESIDENT
Credential: D.C.
Phone: 651-402-2914