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Organization

DISCOVER CHIROPRACTIC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BERNARD PAUL O'BRIEN D.C. (OWNER)
(952) 224-9501
Entity
Organization

Contact information

Practice address
101 W BURNSVILLE PKWY, SUITE 204, BURNSVILLE, MN 55337-2571
(952) 224-9501
(952) 224-9503
Mailing address
101 W BURNSVILLE PKWY, SUITE 204, BURNSVILLE, MN 55337-2571
(952) 224-9501
(952) 224-9503

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
443
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4572921-00
MN
05
5691427-00
MN
01
64B04OB
BCBS - OFFICE PROVIDER #
MN
01
64B05OB
DR. O'BRIEN'S BCBS #
MN
05
7815204-00
MN
Enumeration date
04/02/2007
Last updated
12/19/2011
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