Provider Demographics
NPI:1215197397
Name:ROZMARIN FAMILY CHIROPRACTIC, P. A.
Entity Type:Organization
Organization Name:ROZMARIN FAMILY CHIROPRACTIC, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:ROZMARIN
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:952-898-4446
Mailing Address - Street 1:18476 KENRICK AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-9288
Mailing Address - Country:US
Mailing Address - Phone:952-898-4446
Mailing Address - Fax:
Practice Address - Street 1:18476 KENRICK AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-9288
Practice Address - Country:US
Practice Address - Phone:952-220-9554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty