Provider Demographics
NPI:1275963969
Name:SHILPA S. PARIKH, DC, PLLC
Entity Type:Organization
Organization Name:SHILPA S. PARIKH, DC, PLLC
Other - Org Name:VITALITY CHIROPRACTIC & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHILPA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-293-5529
Mailing Address - Street 1:1821 SAINT CLAIR AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1642
Mailing Address - Country:US
Mailing Address - Phone:612-293-5529
Mailing Address - Fax:
Practice Address - Street 1:1821 SAINT CLAIR AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1642
Practice Address - Country:US
Practice Address - Phone:612-293-5529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service