Provider Demographics
NPI:1710293832
Name:JUNGE FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:JUNGE FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:JUNGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-208-4481
Mailing Address - Street 1:4164 18TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-0474
Mailing Address - Country:US
Mailing Address - Phone:507-208-4481
Mailing Address - Fax:507-208-4482
Practice Address - Street 1:4164 18TH AVE NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-0474
Practice Address - Country:US
Practice Address - Phone:507-208-4481
Practice Address - Fax:507-208-4482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty