Healthcare Provider Details

I. General information

NPI: 1669699005
Provider Name (Legal Business Name): ST. JAMES FAMILY CHIROPRACTIC, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WESTON AVE
SAINT JAMES MN
56081-1642
US

IV. Provider business mailing address

PO BOX 397
SAINT JAMES MN
56081-0397
US

V. Phone/Fax

Practice location:
  • Phone: 507-375-4690
  • Fax: 507-375-7661
Mailing address:
  • Phone: 507-375-4690
  • Fax: 507-375-7661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3474
License Number StateMN

VIII. Authorized Official

Name: DR. CURTIS L LEIMER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 507-375-4690