LUND HEALTH PROFESSIONAL CORPORATION (NPI# 1194197368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194197368 |
| Entity Type | Organization |
| Organization Name | LUND HEALTH PROFESSIONAL CORPORATION |
| Other Organization Name | BLAINE HEALTH AND WELLNESS |
| Practice Address |
1360 101st Ave Ne Suite 140 Blaine MN 55449 |
| Mailing Address |
1630 101st Ave Ne Ste 140 Blaine MN 55449-4419 |
| Practice Telephone | 7637033509 |
| Practice Fax Number | 7637033454 |
| Mailing Telephone | 7637033509 |
| Mailing Fax Number | 7637033454 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | DR. BRIAN JAMES LUND (PRESIDENT) |
| Authorized Official Telephone | 7637033509 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5464 | MN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Blaine Health and Wellness | Doing Business As Name - Organization |
| Street Address |
1360 101ST AVE NE SUITE 140 |
| City | BLAINE |
| State | MN |
| Zip Code | 55449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| 1194962308 | Jennifer Ann Barnett | Marriage & Family Therapist | 10300 Flanders Ave. Ne, Volunteers of America-avanti Center for Girls, Blaine, MN 55449 | 2009-01-09 |
| Find all providers in zip 55449 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1154715787 | Lunzer Chiropractic LLC | Chiropractor | 1847 129th Ave Ne, Blaine, MN 55449-4970 | 2015-03-20 |
| 1093103764 | Christelle Vang | Chiropractor | 12157 Dunkirk St Ne, Blaine, MN 55449-7502 | 2015-01-05 |
| 1326436064 | Alycean Maryrae Bergh | Chiropractor | 10950 Club West Pkwy Ste 190, Blaine, MN 55449-5862 | 2015-01-05 |
| 1063800704 | Ryan William Waddell | Chiropractor | 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 | 2015-01-05 |
| 1023381043 | Vaughn Chiropractic Pllc | Chiropractor | 10904 Baltimore St Ne, Ste 103, Blaine, MN 55449-5061 | 2012-02-22 |
| 1316217144 | Robert Lloyd Vaughn IIi | Chiropractor | 10904 Baltimore St Ne Ste 103, Blaine, MN 55449-5062 | 2012-01-10 |
| 1316244882 | Exodus Chiropractic, Pa | Chiropractor | 10950 Club West Pkwy, Suite 110, Blaine, MN 55449-4679 | 2011-02-18 |
| 1821233164 | Grant Alexander Redstone | Chiropractor | 1750 105th Avenue Ne, Blaine, MN 55449 | 2008-12-15 |
| 1154546901 | Daniel James Richter | Chiropractor | 13060 Central Ave Ne, Suite 100, Blaine, MN 55434-4149 | 2007-04-16 |
| Find all providers in BLAINE | ||||
Please comment or provide details below to improve the information on LUND HEALTH PROFESSIONAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.