# HOPKINS CHIROPRACTIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578912549
- **Authorized official:** JEFFERY THOMAS GULLICKSON DC (OWNER)
- **Authorized official phone:** (651) 206-5047

## Contact information

- **Practice address:** 17 10TH AVE S, HOPKINS, MN 55343-7505
- **Practice address phone:** (651) 206-5047
- **Mailing address:** 17 10TH AVE S, HOPKINS, MN 55343-7505
- **Mailing address phone:** (651) 206-5047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2937 | MN | Yes |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 06/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1306919998 | CURRENT FACILITY NPI | MN |