Provider Demographics
NPI:1265953061
Name:A PLUS CHIROPRACTIC, PC
Entity type:Organization
Organization Name:A PLUS CHIROPRACTIC, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BERTILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-439-4623
Mailing Address - Street 1:7872 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-2625
Mailing Address - Country:US
Mailing Address - Phone:763-780-4300
Mailing Address - Fax:763-780-3789
Practice Address - Street 1:7872 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-2625
Practice Address - Country:US
Practice Address - Phone:763-780-4300
Practice Address - Fax:763-780-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty