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NPI Code Detail

MEDICARE: SYNERGY CHIROPRACTIC, PA

MEDICARE: SYNERGY CHIROPRACTIC, PA
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1356701635
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNERGY CHIROPRACTIC, PA
Provider Business Mailing Address
First Line : 2125 UPPER 55TH ST E STE 110
Second Line :
City : INVER GROVE HEIGHTS
State : MN
Zip : 55077-1732
Country : US
Telephone Number : 651-451-3311
Fax Number : 651-457-4558
Provider Business Practice Location Address
First Line : 2125 UPPER 55TH ST E
Second Line : SUITE 250
City : INVER GROVE HEIGHTS
State : MN
Zip : 55077-1734
Country : US
Telephone Number : 651-451-3311
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JESSE C. PLOESSL
Credential : D.C.
Telephone Number : 651-451-3311
Provider Enumeration Date : 03/01/2016
Last Update Date : 02/13/2019

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Directions to “SYNERGY CHIROPRACTIC, PA ” Practice Location

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