MEDICARE: CHRISTIANSON CHIROPRACTIC, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1265800700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIANSON CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	631 CLEVELAND AVE S
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-1244
Country	:	US
Telephone Number	:	651-698-2321
Fax Number	:	184-427-3176

Provider Business Practice Location Address
First Line	:	631 CLEVELAND AVE S
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-1244
Country	:	US
Telephone Number	:	651-698-2321
Fax Number	:	184-427-3176

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. ALI SCHOLLMEYER
Credential	:	D.C
Telephone Number	:	651-698-2321

Provider Enumeration Date	:	09/14/2015
Last Update Date	:	02/10/2020

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