Provider Demographics
NPI:1497932792
Name:C AND B HEALTH INC
Entity Type:Organization
Organization Name:C AND B HEALTH INC
Other - Org Name:ALEM CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARSON
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:612-822-1135
Mailing Address - Street 1:3552 NICOLLET AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-4558
Mailing Address - Country:US
Mailing Address - Phone:612-822-1135
Mailing Address - Fax:
Practice Address - Street 1:3552 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-4558
Practice Address - Country:US
Practice Address - Phone:612-822-1135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
62G20CBOtherBLUE CROSS BLUE SHIELD
62G20CBOtherBLUE CROSS BLUE SHIELD