Provider Demographics
NPI:1285240630
Name:TRUE NORTH CHIROPRACTIC & SPORTS MEDICINE
Entity type:Organization
Organization Name:TRUE NORTH CHIROPRACTIC & SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SZKLARCZUK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-499-8548
Mailing Address - Street 1:18668 DULANEY DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-7089
Mailing Address - Country:US
Mailing Address - Phone:612-499-8548
Mailing Address - Fax:612-466-5782
Practice Address - Street 1:14050 FAIRVIEW DR
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5713
Practice Address - Country:US
Practice Address - Phone:612-499-8548
Practice Address - Fax:612-466-5782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center