Provider Demographics
NPI:1154698538
Name:SILVIA SPINAL CENTER PC
Entity type:Organization
Organization Name:SILVIA SPINAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SHIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-399-8277
Mailing Address - Street 1:210 WEXFORD HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-3144
Mailing Address - Country:US
Mailing Address - Phone:651-399-8277
Mailing Address - Fax:651-631-0618
Practice Address - Street 1:22 WILSON AVE NE
Practice Address - Street 2:STE. 19
Practice Address - City:ST. CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56302-6097
Practice Address - Country:US
Practice Address - Phone:320-203-7000
Practice Address - Fax:320-259-8580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1831371863OtherNPI, INDIVIDUAL