Organization
NEW BRIGHTON CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN JON KOLLAR DC (VP)
(651) 636-4120
Entity
Organization
Contact information
Practice address
2216 COUNTY ROAD D W STE B, NEW BRIGHTON, MN 55112-8505
(651) 636-4120
(651) 630-1069
Mailing address
2216 COUNTY ROAD D W STE B, SAINT PAUL, MN 55112-8505
(651) 636-4120
(651) 630-1069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
580
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137L0NE
BCBS CLINIC ID
MN
Enumeration date
06/22/2005
Last updated
08/16/2021
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