Provider Demographics
NPI:1265800700
Name:CHRISTIANSON CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:CHRISTIANSON CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOLLMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-698-2321
Mailing Address - Street 1:631 CLEVELAND AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1244
Mailing Address - Country:US
Mailing Address - Phone:651-698-2321
Mailing Address - Fax:184-427-3176
Practice Address - Street 1:631 CLEVELAND AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1244
Practice Address - Country:US
Practice Address - Phone:651-698-2321
Practice Address - Fax:184-427-3176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty