Provider Demographics
NPI:1821337577
Name:CHIROPRACTIC CARE OF OWATONNA PA
Entity Type:Organization
Organization Name:CHIROPRACTIC CARE OF OWATONNA PA
Other - Org Name:CHIROPRACTIC CARE OF OWATONNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR OF CHIROPRACTIC CARE
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SEID
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-214-2584
Mailing Address - Street 1:317 N CEDAR
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060
Mailing Address - Country:US
Mailing Address - Phone:507-214-2584
Mailing Address - Fax:507-214-2584
Practice Address - Street 1:317 N CEDAR
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060
Practice Address - Country:US
Practice Address - Phone:507-214-2584
Practice Address - Fax:507-214-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty