Revelation Chiropractic Pllc

NPI 1144502733 - Chiropractor - 111N00000X

NPI Details
NPI 1144502733
Enumeration Date 09/09/2011
Last Updated 09/09/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NICHOLAS RICHARD NICHOLAS
Position OWNER/CEO
Phone (612) 267-9281
Fax
Practice Location
8112 UPTON AVE S
BLOOMINGTON MN, 55431-1248, US
Phone (612) 267-9281
Fax
Business Location
8112 UPTON AVE S
BLOOMINGTON MN, 55431-1248, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 5186
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According to our database, Revelation Chiropractic Pllc NPI is 1144502733, taxonomy code is 111N00000X and license number is 5186, license state is located at Minnesota. Revelation Chiropractic Pllc physically located at 8112 Upton Ave S, Bloomington MN, 55431-1248. NPI Number 1033115704 has the healthcare provider type.

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1144502733 NPI number is provided on an as is basis without warranty of any kind. 1144502733 is maintained by the National Plan & Provider Enumeration System. The contents of Revelation Chiropractic Pllc are for informational purposes only.