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Organization
BENASSI CHIROPRACTIC, P.A.
Active
Organization
BENASSI CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA M. BENASSI D.C., F.A.C.O. (PRESIDENT)
(651) 578-9191
Entity
Organization
Contact information
Practice address
731 BIELENBERG DR, SUITE 101, WOODBURY, MN 55125-1700
(651) 578-9191
(651) 702-7499
Mailing address
731 BIELENBERG DR, SUITE 101, WOODBURY, MN 55125-1700
(651) 578-9191
(651) 702-7499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2985
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02B20BE
BCBS
MN
01
—
1619954849
INDIVIDUAL NPI
MN
01
—
1B02B20BE
BCBS
MN
01
—
231918
CHIRO CARE
MN
01
—
3335029
MN TAX ID
MN
05
—
498528100
—
MN
01
—
7740072
AETNA
MN
Enumeration date
06/27/2007
Last updated
10/04/2011
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