LAKE NICOLLET CLINIC, PA (NPI# 1245675511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245675511 |
| Entity Type | Organization |
| Organization Name | LAKE NICOLLET CLINIC, PA |
| Practice Address |
One West Lake Street Suite 195 Minneapolis MN 55408-3362 |
| Mailing Address |
Po Box 80808 Minneapolis MN 55408-8808 |
| Practice Telephone | 6122597570 |
| Practice Fax Number | 6128863427 |
| Mailing Telephone | 6122597570 |
| Mailing Fax Number | 6128863427 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MR. ARTUR VICTOR GUZHAGIN (PRESIDENT) |
| Authorized Official Telephone | 6122597570 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1176 | MN | Chiropractic Providers |
| Street Address |
ONE WEST LAKE STREET SUITE 195 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| 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 |
|---|---|---|---|---|
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1750917068 | Minnesota Chiroworks, Pllc | Chiropractor | 125 Se Main St Ste 237, Minneapolis, MN 55414-2278 | 2020-03-18 |
| 1295368850 | First Choice Chiropractic & Rehab Center LLC | Chiropractor | 2929 4th Ave S Ste 103, Minneapolis, MN 55408-2460 | 2020-02-21 |
| 1144869587 | Jaron Michael Faber | Chiropractor | 8921 62nd Ave N, Minneapolis, MN 55428-2630 | 2020-01-02 |
| 1174167845 | Marino Best | Chiropractor | 1221 W Lake St Ste 102, Minneapolis, MN 55408-3398 | 2019-11-05 |
| 1609410984 | Hlikaj Xiong | Chiropractor | 2822 W 43rd St Ste 100, Minneapolis, MN 55410-1696 | 2019-10-30 |
| 1164987228 | Kyle Politz | Chiropractor | 6528 W Lake St Ste D, Minneapolis, MN 55426-4246 | 2019-02-04 |
| 1558833558 | Drew Selnes | Chiropractor | 3211 E 25th St, Minneapolis, MN 55406-1410 | 2019-01-02 |
| 1063984235 | Austin G King | Chiropractor | 7801 E Bush Lake Rd Ste 280, Minneapolis, MN 55439-3144 | 2018-12-27 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on LAKE NICOLLET CLINIC, PA.
| 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.