Provider Demographics
NPI:1174826663
Name:TAYLORS FALLS CHIROPRACTIC OFFICE LTD
Entity Type:Organization
Organization Name:TAYLORS FALLS CHIROPRACTIC OFFICE LTD
Other - Org Name:TAYLORS FALLS FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-465-3811
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:TAYLORS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:55084-0237
Mailing Address - Country:US
Mailing Address - Phone:651-465-3811
Mailing Address - Fax:651-344-6025
Practice Address - Street 1:13575 58TH ST N
Practice Address - Street 2:
Practice Address - City:OAK PARK HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55082-6994
Practice Address - Country:US
Practice Address - Phone:651-430-7307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1207302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350001402Medicare UPIN