Provider Demographics
NPI:1659625747
Name:ALENOV WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:ALENOV WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIKOLAI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALENOV
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:651-738-7800
Mailing Address - Street 1:7650 CURRELL BLVD
Mailing Address - Street 2:STE. 330
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2257
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7650 CURRELL BLVD
Practice Address - Street 2:STE. 330
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2257
Practice Address - Country:US
Practice Address - Phone:651-738-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty