Provider Demographics
NPI:1558765792
Name:AURORA CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:AURORA CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STUVEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-508-5066
Mailing Address - Street 1:1051 MADISON AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6143
Mailing Address - Country:US
Mailing Address - Phone:507-625-1085
Mailing Address - Fax:507-625-6305
Practice Address - Street 1:1051 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6143
Practice Address - Country:US
Practice Address - Phone:507-508-5066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty