Provider Demographics
NPI: | 1356576425 |
---|---|
Name: | ACCEL AND BE WELL CHIROPRACTIC & ACUPUNCTURE LLC |
Entity type: | Organization |
Organization Name: | ACCEL AND BE WELL CHIROPRACTIC & ACUPUNCTURE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JULIE |
Authorized Official - Middle Name: | ANN |
Authorized Official - Last Name: | BEAL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 952-544-0838 |
Mailing Address - Street 1: | 10501 WAYZATA BLVD |
Mailing Address - Street 2: | SUITE 100 |
Mailing Address - City: | MINNETONKA |
Mailing Address - State: | MN |
Mailing Address - Zip Code: | 55305-5508 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 952-544-0838 |
Mailing Address - Fax: | 952-544-0776 |
Practice Address - Street 1: | 10501 WAYZATA BLVD |
Practice Address - Street 2: | SUITE 100 |
Practice Address - City: | MINNETONKA |
Practice Address - State: | MN |
Practice Address - Zip Code: | 55305-5508 |
Practice Address - Country: | US |
Practice Address - Phone: | 952-544-0838 |
Practice Address - Fax: | 952-544-0776 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-05-19 |
Last Update Date: | 2009-05-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |