MEDICARE: ASCENDING HEALTH CENTER, 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	5079	MN

General Provider Information

NPI Number	:	1699049213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENDING HEALTH CENTER, PLLC

Provider Business Mailing Address
First Line	:	7200 HEMLOCK LN N
Second Line	:	STE LL3
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-5576
Country	:	US
Telephone Number	:	763-614-8748
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 HEMLOCK LN N
Second Line	:	STE LL3
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-5576
Country	:	US
Telephone Number	:	763-614-8748
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JENNIFER E FEATHER
Credential	:	D.C.
Telephone Number	:	763-614-8748

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	02/29/2012

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