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Organization
BACK INTO LIFE CHIROPRACTIC PA
Active
Organization
BACK INTO LIFE CHIROPRACTIC PA
Active
Other names
Back Into Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE MICHAEL TERNUS D.C. (PRESIDENT)
(763) 712-5986
Entity
Organization
Contact information
Practice address
7533 SUNWOOD DR NW, STE. 212, RAMSEY, MN 55303-4973
(763) 712-5986
(763) 712-3916
Mailing address
7533 SUNWOOD DR NW, STE. 212, RAMSEY, MN 55303-4973
(763) 712-5986
(763) 712-3916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82D29BA
BC/BS
MN
Enumeration date
03/22/2007
Last updated
09/30/2015
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