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Individual

DR. GINA M BENASSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC, FACO,

Contact information

Practice address
731 BIELENBERG DRIVE, SUITE 101, WOODBURY, MN 55025-1700
(651) 578-9191
(651) 702-7499
Mailing address
731 BIELENBERG DRIVE, SUITE 101, WOODBURY, MN 55025-1700
(651) 578-9191
(651) 702-7499

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2985
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02B20BE
PROVIDER #
MN
01
02B21BE
EPNI SELECT CHIROPRACTIC
MN
01
0446
HSM PROVIDER NUMBER
MN
01
231918
CHIROCARE OF MN
MN
01
350002251
MEDICARE ID - TYPE UNSPECIFIED
MN
01
350049060
RAILROAD MEDICARE
MN
01
41-1883279
FEDERAL TAX ID
01
476452
FOCUS HEALTHCARE MGMNT
MN
05
498528100
MN
01
MN3755
PREFERRED CHIROPRACTIC CA
MN
Enumeration date
12/29/2005
Last updated
10/14/2011
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