Organization
HEALTHPLUS CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE MARIE BENNETT D.C. (OWNER)
(763) 535-4342
Entity
Organization
Contact information
Practice address
4080 W BROADWAY AVE, STE 128, ROBBINSDALE, MN 55422-5604
(763) 535-4342
Mailing address
4080 W BROADWAY AVE, STE 128, ROBBINSDALE, MN 55422-5604
(763) 535-4342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4852
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154H0HE
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/13/2006
Last updated
11/27/2007
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