Provider Demographics
NPI:1790972727
Name:HILPISCH CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:HILPISCH CHIROPRACTIC, INC
Other - Org Name:HILPISCH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HILPISCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-748-5731
Mailing Address - Street 1:8995 HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-8900
Mailing Address - Country:US
Mailing Address - Phone:651-748-5731
Mailing Address - Fax:651-748-5730
Practice Address - Street 1:8995 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-8900
Practice Address - Country:US
Practice Address - Phone:651-748-5731
Practice Address - Fax:651-748-5730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNCO4181Medicare PIN