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NPI Code Detail

MEDICARE: VALENTINI CHIROPRACTIC CLINIC LTD PA

MEDICARE: VALENTINI CHIROPRACTIC CLINIC LTD 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
1111N00000XChiropractor2548MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160627FOOTHERMNBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477545895
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALENTINI CHIROPRACTIC CLINIC LTD PA
Provider Business Mailing Address
First Line : 4455 HIGHWAY 169 N
Second Line : #200
City : PLYMOUTH
State : MN
Zip : 55442-2897
Country : US
Telephone Number : 763-557-9032
Fax Number : 763-557-5838
Provider Business Practice Location Address
First Line : 4455 HIGHWAY 169 N
Second Line : #200
City : PLYMOUTH
State : MN
Zip : 55442-2897
Country : US
Telephone Number : 763-557-9032
Fax Number : 763-557-5838
Authorized Official
Title or Position : DOCTOR
Name : JOHN KENNETH VALENTINI
Credential : DC
Telephone Number : 763-557-9032
Provider Enumeration Date : 08/22/2005
Last Update Date : 03/06/2015

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4455 HIGHWAY 169 N
PLYMOUTH, MN
55442-2897
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1700864279 — TANYA S ERNTSON OD
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1831159680 — DR. KRISTINA M BORESPUPP OD
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Practice Fax: 763-559-6010
1427018266 — DR. DONALD H SEALOCK OD
Practice Location Address:
4455 HIGHWAY 169 N
PLYMOUTH, MN
55442-2897
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Practice Fax: 763-559-2167
1285695528 — DR. THOMAS J BRYAN OD
Practice Location Address:
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PLYMOUTH, MN
55442-2897
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1518928845 — DR. TIMOTHY J HURLEY OD
Practice Location Address:
4455 HIGHWAY 169 N
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55442-2897
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Practice Fax:

Directions to “VALENTINI CHIROPRACTIC CLINIC LTD PA ” Practice Location

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