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Organization

BACK INTO LIFE CHIROPRACTIC PA

Active
Other names
Back Into Life Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSE MICHAEL TERNUS D.C. (PRESIDENT)
(763) 712-5986
Entity
Organization

Contact information

Practice address
7533 SUNWOOD DR NW, STE. 212, RAMSEY, MN 55303-4973
(763) 712-5986
(763) 712-3916
Mailing address
7533 SUNWOOD DR NW, STE. 212, RAMSEY, MN 55303-4973
(763) 712-5986
(763) 712-3916

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82D29BA
BC/BS
MN
Enumeration date
03/22/2007
Last updated
09/30/2015
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