DR. JO G THEISEN (NPI# 1730262494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730262494 |
| Entity Type | Individual |
| Full Name | DR. JO G THEISEN |
| Credential | DC |
| Practice Address |
8465 W Broadway Ave Brooklyn Park MN 55445-2266 |
| Practice Telephone | 7634247750 |
| Practice Fax Number | 7634243444 |
| Mailing Telephone | 7634247750 |
| Mailing Fax Number | 7634243444 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2599 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI FACILITY | 1952484602 | 01 | |
| MN | 416728700 | 05 |
| Street Address |
8465 W BROADWAY AVE |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952484602 | Jo G Theisen Dc, Pa | Chiropractor | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 | 2006-10-23 |
| 1720485931 | Madeline Klesk | Chiropractor | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 | 2014-12-03 |
| 1205919974 | Barbara C. Knutson | Chiropractor | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 | 2006-10-24 |
| 1548343288 | Laurie J Anderson | Chiropractor | 8465 W Broadway Ave, Brooklyn Park, MN 55445-2266 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
| Find all providers in zip 55445 | ||||
| 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 |
|---|---|---|---|---|
| 1801221411 | B.p. Spine Center, P.a. | Chiropractor | 3330 Brookdale Dr N, Brooklyn Park, MN 55443-2863 | 2013-09-13 |
| 1730450610 | Brandon Daniel Evans | Chiropractor | 9707 Evergreen Ave N, Brooklyn Park, MN 55443-1534 | 2012-01-24 |
| 1396020939 | Mobile Advantage Chiropractic | Chiropractor | 7000 62nd Ave N, Brooklyn Park, MN 55428-2970 | 2011-10-14 |
| 1336479039 | Andrew Anatoli Globa | Chiropractor | 9580 Noble Parkway North, Brooklyn Park, MN 55443 | 2010-01-04 |
| 1295966059 | Patient First, P.a. | Chiropractor | 3330 Brookdale Drive, Brooklyn Park, MN 55443-2863 | 2009-07-28 |
| 1154552925 | Michael D Mai | Chiropractor | 3330 Brookdale Drive Ave N, Brooklyn Park, MN 55443-2863 | 2009-07-28 |
| 1902086143 | Maximum Life, Inc. | Chiropractor | 8509 Jefferson Ln N, Suite 110, Brooklyn Park, MN 55445-2119 | 2007-11-05 |
| 1174720635 | Saul Chue Sao Heu | Chiropractor | 6901 78th Ave N Ste 102, Brooklyn Park, MN 55445-2720 | 2007-06-28 |
| 1467668582 | Kraig John Condon | Chiropractor | 6264 Boone Ave N, Brooklyn Park, MN 55428-2729 | 2007-05-15 |
| 1124234190 | Laura Jean Patterson | Chiropractor | 3118 Bluebell Ave N, Brooklyn Park, MN 55443-1778 | 2007-05-15 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55445 |
Please comment or provide details below to improve the information on DR. JO G THEISEN.
| 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.