Provider Demographics
NPI:1508043688
Name:INTERNATIONAL HEALTH PARTNERS LTD
Entity Type:Organization
Organization Name:INTERNATIONAL HEALTH PARTNERS LTD
Other - Org Name:NORTH PARK CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:SCHMOLL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-934-5371
Mailing Address - Street 1:28689 HUB DR
Mailing Address - Street 2:
Mailing Address - City:MADISON LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56063-4179
Mailing Address - Country:US
Mailing Address - Phone:507-934-5371
Mailing Address - Fax:
Practice Address - Street 1:200 E BOWLER ST
Practice Address - Street 2:
Practice Address - City:LE CENTER
Practice Address - State:MN
Practice Address - Zip Code:56057-1768
Practice Address - Country:US
Practice Address - Phone:507-357-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3075111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3C804LEOtherBCBS OF MN
MNC04839Medicare PIN