Provider Demographics
NPI:1316559552
Name:AMIOT SPINE CARE, PLLC
Entity Type:Organization
Organization Name:AMIOT SPINE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:INGRID
Authorized Official - Last Name:AMIOT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-396-3010
Mailing Address - Street 1:370 QUAIL RD
Mailing Address - Street 2:
Mailing Address - City:DELLWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55110-1422
Mailing Address - Country:US
Mailing Address - Phone:612-396-3010
Mailing Address - Fax:
Practice Address - Street 1:1430 HIGHWAY 96 E
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3653
Practice Address - Country:US
Practice Address - Phone:612-396-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center