IAN GRUNBERG (NPI# 1710039847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710039847 |
| Entity Type | Individual |
| Full Name | IAN GRUNBERG |
| Credential | D.C. |
| Practice Address |
1386 7th St W Saint Paul MN 55102-4206 |
| Practice Telephone | 6512939200 |
| Practice Fax Number | 6512287103 |
| Mailing Telephone | 6512939200 |
| Mailing Fax Number | 6512287103 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1485 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBSM | 1D238GR | 01 |
| Street Address |
1386 7TH ST W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225180359 | Chiropractic Health Care of St. Paul P.a. | Chiropractor | 1386 7th St W, Saint Paul, MN 55102-4206 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1265061709 | Saint Paul Chiropractic Pllc | Chiropractor | 91 Snelling Ave N Ste 220, Saint Paul, MN 55104-6756 | 2020-04-06 |
| 1720622806 | Andreas Ezer | Chiropractor | 33 Hamline Ave S Ste 100, Saint Paul, MN 55105-2231 | 2019-11-01 |
| 1891284733 | Abby Mae Bachmeier | Chiropractor | 333 Grand Ave Ste 102, Saint Paul, MN 55102-2584 | 2018-05-07 |
| 1801304852 | Kyle Nolan Walsh | Chiropractor | 33 Avon St S Apt 6, Saint Paul, MN 55105-3186 | 2018-01-11 |
| 1154859866 | Sara Livia Cooper | Chiropractor | 1 Water St W Ste 270, Saint Paul, MN 55107-2053 | 2017-05-24 |
| 1982146502 | Neville Lambourne | Chiropractor | 393 Dunlap St N Ste Ll38, Saint Paul, MN 55104-4202 | 2016-11-14 |
| 1457804643 | Pamela Joy Comes | Chiropractor | 1700 Rice St Ste B, Saint Paul, MN 55113-6812 | 2016-07-25 |
| 1437511995 | Andrew David Cook | Chiropractor | 21 Langford Park, Saint Paul, MN 55108-1910 | 2016-03-24 |
| 1598130924 | Chirodefense, LLC | Chiropractor | 1068 Payne Ave, Saint Paul, MN 55130-3843 | 2015-12-10 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on IAN GRUNBERG.
| 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.