Organization
ADVANCED CHIROPRACTIC HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LEE PAULSEN DC (PRESIDENT)
(763) 536-1112
Entity
Organization
Contact information
Practice address
4205 LANCASTER LN N STE 105, PLYMOUTH, MN 55441-1702
(763) 536-1112
(763) 536-0471
Mailing address
4205 LANCASTER LN N STE 105, PLYMOUTH, MN 55441-1702
(763) 536-1112
(763) 536-0471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4347
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110105600
—
MN
01
—
67G19W1
BCBS
MN
Enumeration date
05/16/2007
Last updated
10/22/2025
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