Organization
PURE LIFE CHIROPRACTIC AND WELLNESS CENTER, LTD
Active
Organization
PURE LIFE CHIROPRACTIC AND WELLNESS CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS RYAN JOHNSON D.C. (PRESIDENT/OWNER)
(320) 864-6249
Entity
Organization
Contact information
Practice address
920 10TH ST E, GLENCOE, MN 55336-2301
(320) 864-6249
(320) 864-6243
Mailing address
920 10TH ST E, GLENCOE, MN 55336-2301
(320) 864-6249
(320) 864-6243
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
5603
MN
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up