Provider Demographics
NPI:1578849428
Name:WEST END CHIROPRACTIC AND WELLNESS PA
Entity Type:Organization
Organization Name:WEST END CHIROPRACTIC AND WELLNESS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:SCHWERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-500-8477
Mailing Address - Street 1:1660 HIGHWAY 100 S STE 146
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1562
Mailing Address - Country:US
Mailing Address - Phone:952-500-8477
Mailing Address - Fax:952-500-9522
Practice Address - Street 1:1660 HIGHWAY 100 S
Practice Address - Street 2:SUITE 146, PARKDALE PLAZA
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1529
Practice Address - Country:US
Practice Address - Phone:952-500-8477
Practice Address - Fax:952-500-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty