Provider Demographics
NPI:1023223682
Name:JANSON FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:JANSON FAMILY CHIROPRACTIC PC
Other - Org Name:WHOLE HEALTH FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-590-0760
Mailing Address - Street 1:12427 CHERRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:MN
Mailing Address - Zip Code:55374-4525
Mailing Address - Country:US
Mailing Address - Phone:763-428-6448
Mailing Address - Fax:
Practice Address - Street 1:611 WALNUT ST
Practice Address - Street 2:SUITE 2,
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-4574
Practice Address - Country:US
Practice Address - Phone:763-295-4301
Practice Address - Fax:763-271-4151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty