Provider Demographics
NPI:1922572387
Name:TRUECARE CHIROPRACTIC
Entity Type:Organization
Organization Name:TRUECARE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-350-7179
Mailing Address - Street 1:1981 SILVER BELL RD # 700
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-3174
Mailing Address - Country:US
Mailing Address - Phone:651-350-7179
Mailing Address - Fax:651-350-7903
Practice Address - Street 1:1981 SILVER BELL RD
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-3174
Practice Address - Country:US
Practice Address - Phone:320-291-5133
Practice Address - Fax:350-651-7903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty