Organization
INVER GROVE CHIROPRACTIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS DAVID CRAIN D.C (PRESIDENT)
(651) 451-1012
Entity
Organization
Contact information
Practice address
2940 65TH ST E, INVER GROVE HEIGHTS, MN 55076-2040
(651) 451-1012
(651) 453-1543
Mailing address
2940 65TH ST E, INVER GROVE HEIGHTS, MN 55076-2040
(651) 451-1012
(651) 453-1543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1591
MN
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230730
CHIRO CARE
MN
05
—
3707978
—
MN
01
—
59869IN
BLUE CROSS BLUE SHIELD
MN
01
—
94265
MEDICA
MN
Enumeration date
11/02/2007
Last updated
11/26/2024
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