Organization
CHIRO HEALTH CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JER LEE D.C. (DR. JER LEE)
(612) 520-4040
Entity
Organization
Contact information
Practice address
4400 OLIVER AVE N, MINNEAPOLIS, MN 55412-1123
(612) 520-4040
(612) 520-4001
Mailing address
4400 OLIVER AVE N, MINNEAPOLIS, MN 55412-1123
(612) 520-4040
(612) 520-4001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4423
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232K3CH
BLUECROSS BLUESHEILD
MN
01
—
693151
CHIROCARE PROVIDER I.D.
MN
Enumeration date
05/21/2007
Last updated
08/22/2020
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