Organization
SOCIALVITE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA BUSH ND (OWNER)
(651) 342-1043
Entity
Organization
Contact information
Practice address
105 NEW ENGLAND PL #220, STILLWATER, MN 55082
(651) 342-1043
(866) 462-6742
Mailing address
105 NEW ENGLAND PL #220, STILLWATER, MN 55082
(651) 342-1043
(866) 462-6742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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