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 |