Provider Demographics
NPI:1619164621
Name:RINNE CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:RINNE CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:RINNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-972-3340
Mailing Address - Street 1:PO BOX 511
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:MN
Mailing Address - Zip Code:55328-0511
Mailing Address - Country:US
Mailing Address - Phone:763-972-3340
Mailing Address - Fax:763-972-1370
Practice Address - Street 1:120 BRIDGE AVE E
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:MN
Practice Address - Zip Code:55328
Practice Address - Country:US
Practice Address - Phone:763-972-3340
Practice Address - Fax:763-972-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC04730Medicare PIN