Provider Demographics
NPI:1346542842
Name:TOTAL CARE CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:TOTAL CARE CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:SEIDL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-296-9014
Mailing Address - Street 1:530 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BIRD ISLAND
Mailing Address - State:MN
Mailing Address - Zip Code:55310-1198
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 BIRCH AVE S
Practice Address - Street 2:
Practice Address - City:MAPLE LAKE
Practice Address - State:MN
Practice Address - Zip Code:55358-4568
Practice Address - Country:US
Practice Address - Phone:320-296-9014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty