Provider Demographics
NPI:1962670026
Name:HELMINGER CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:HELMINGER CHIROPRACTIC, P.A.
Other - Org Name:DC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:THEISEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-494-8787
Mailing Address - Street 1:9479 GARLAND LANE NORTH
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311
Mailing Address - Country:US
Mailing Address - Phone:763-494-8787
Mailing Address - Fax:763-494-8841
Practice Address - Street 1:9479 GARLAND LANE NORTH
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311
Practice Address - Country:US
Practice Address - Phone:763-494-8787
Practice Address - Fax:763-494-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4091111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN078K1EXOtherBCBS MN
MNC04141OtherMEDICARE GROUP NUMBER