Provider Demographics
NPI:1275685257
Name:ADVANCEMENTS IN CHIROPRACTIC
Entity Type:Organization
Organization Name:ADVANCEMENTS IN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:JAKUBOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-233-3738
Mailing Address - Street 1:11689 MILLPOND AVE
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-7251
Mailing Address - Country:US
Mailing Address - Phone:651-233-3738
Mailing Address - Fax:
Practice Address - Street 1:2020 SILVER BELL RD
Practice Address - Street 2:SUITE #2
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-1050
Practice Address - Country:US
Practice Address - Phone:651-233-3738
Practice Address - Fax:651-452-5910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4802261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center