Provider Demographics
NPI:1003070731
Name:DREWS FAMILY CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:DREWS FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DREWS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-731-4464
Mailing Address - Street 1:563 BIELENBERG DR
Mailing Address - Street 2:SUITE #145
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4425
Mailing Address - Country:US
Mailing Address - Phone:651-731-4464
Mailing Address - Fax:651-379-5113
Practice Address - Street 1:563 BIELENBERG DR
Practice Address - Street 2:SUITE #145
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4425
Practice Address - Country:US
Practice Address - Phone:651-731-4464
Practice Address - Fax:651-379-5113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4257111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN64G86DROtherBCBS INDIVIDUAL
MN64G87DROtherBCBS CLINIC
MN64G87DROtherBCBS CLINIC