Organization
OXBORO FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON EDWARD ZIMMERMAN (OWNER)
(952) 948-9225
Entity
Organization
Contact information
Practice address
9864 LYNDALE AVE S, BLOOMINGTON, MN 55420-4731
(952) 948-9225
(952) 888-6011
Mailing address
9864 LYNDALE AVE S, BLOOMINGTON, MN 55420-4731
(952) 948-9225
(952) 888-6011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11F76OX
BLUE CROSS CLINIC ID
MN
01
—
1659493112
NPI INDIVIDUAL
MN
01
—
4485655
MEDICA ID
MN
Enumeration date
05/24/2007
Last updated
08/22/2020
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