Provider Demographics
NPI:1659551869
Name:TOTAL HEALTH ADVANTAGE
Entity Type:Organization
Organization Name:TOTAL HEALTH ADVANTAGE
Other - Org Name:ADVANTAGE HEALTH CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-258-9216
Mailing Address - Street 1:221 1ST ST E.
Mailing Address - Street 2:
Mailing Address - City:JORDAN
Mailing Address - State:MN
Mailing Address - Zip Code:55352
Mailing Address - Country:US
Mailing Address - Phone:952-492-3222
Mailing Address - Fax:
Practice Address - Street 1:150 EL DORADO DRIVE
Practice Address - Street 2:
Practice Address - City:JORDAN
Practice Address - State:MN
Practice Address - Zip Code:55352
Practice Address - Country:US
Practice Address - Phone:952-492-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty