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Organization

SIMPLY CHIROPRACTIC CENTER, P.A.

Active
Parent organization
SIMPLY CHIROPRACTIC CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
SIMPLY CHIROPRACTIC CENTER
Authorized official
DR. JILL MARIE FRIEDRICHS (CHIROPRACTOR)
(651) 762-4757
Entity
Organization

Contact information

Practice address
4886 HIGHWAY 61 N, SUITE 201, WHITE BEAR LAKE, MN 55110-2857
(651) 762-4757
Mailing address
4886 HIGHWAY 61 N, SUITE 201, WHITE BEAR LAKE, MN 55110-2857
(651) 762-4757

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5081
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912185448
NPI PERSONAL
MN
Enumeration date
12/28/2011
Last updated
12/28/2011
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