Provider Demographics
NPI:1164608766
Name:NATURAL CHOICE CHIROPRACTIC CENTER, P.A.
Entity Type:Organization
Organization Name:NATURAL CHOICE CHIROPRACTIC CENTER, P.A.
Other - Org Name:PIRKL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIRKL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-206-4660
Mailing Address - Street 1:2711 COMMERCE DR NW
Mailing Address - Street 2:300
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3144
Mailing Address - Country:US
Mailing Address - Phone:507-206-4660
Mailing Address - Fax:507-206-4783
Practice Address - Street 1:2711 COMMERCE DR NW
Practice Address - Street 2:300
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3144
Practice Address - Country:US
Practice Address - Phone:507-206-4660
Practice Address - Fax:507-206-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4363261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350002882Medicare PIN