Provider Demographics
NPI:1316780349
Name:ROMANIE HEALTH SERVICES, P.A
Entity type:Organization
Organization Name:ROMANIE HEALTH SERVICES, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER/CHIRO
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ROMANIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-835-6653
Mailing Address - Street 1:4510 77TH ST W STE 120
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5500
Mailing Address - Country:US
Mailing Address - Phone:952-835-6653
Mailing Address - Fax:952-835-3895
Practice Address - Street 1:4510 77TH ST W STE 120
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5500
Practice Address - Country:US
Practice Address - Phone:952-835-6653
Practice Address - Fax:952-835-3895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy