Provider Demographics
NPI:1326392143
Name:STOFFELS CHIROPRACTIC OFFICE LTD
Entity Type:Organization
Organization Name:STOFFELS CHIROPRACTIC OFFICE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-457-8646
Mailing Address - Street 1:130 BUTLER AVE E
Mailing Address - Street 2:
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-1501
Mailing Address - Country:US
Mailing Address - Phone:651-457-8646
Mailing Address - Fax:651-457-9164
Practice Address - Street 1:130 BUTLER AVE E
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-1501
Practice Address - Country:US
Practice Address - Phone:651-457-8646
Practice Address - Fax:651-457-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-31
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty