Organization
SUGAR CREEK CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE MARIE ROSS THOMPSON DC (OWNER)
(952) 448-2722
Entity
Organization
Contact information
Practice address
112 W 2ND ST STE A, CHASKA, MN 55318-2636
(952) 448-2722
(952) 448-2768
Mailing address
112 W 2ND ST STE A, CHASKA, MN 55318-2636
(952) 448-2722
(952) 448-2768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134211071
—
MN
Enumeration date
12/31/2019
Last updated
12/31/2019
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