Provider Demographics
NPI:1427482314
Name:HEALTHPLUS CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:HEALTHPLUS CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-402-2914
Mailing Address - Street 1:4080 W BROADWAY AVE
Mailing Address - Street 2:SUITE 128
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-5604
Mailing Address - Country:US
Mailing Address - Phone:763-535-4342
Mailing Address - Fax:763-533-2526
Practice Address - Street 1:4080 W BROADWAY AVE
Practice Address - Street 2:SUITE 128
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-5604
Practice Address - Country:US
Practice Address - Phone:763-535-4342
Practice Address - Fax:763-533-2526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4965111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty