Provider Demographics
NPI:1740453968
Name:SILVER VIEW CHIROPRACTIC CENTER, P.A.
Entity type:Organization
Organization Name:SILVER VIEW CHIROPRACTIC CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:BLAINE
Authorized Official - Last Name:BELTING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-786-5581
Mailing Address - Street 1:4137 WOODLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55014-3529
Mailing Address - Country:US
Mailing Address - Phone:763-786-5581
Mailing Address - Fax:763-784-5349
Practice Address - Street 1:4137 WOODLAND ROAD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MN
Practice Address - Zip Code:55014-3529
Practice Address - Country:US
Practice Address - Phone:763-786-5581
Practice Address - Fax:763-784-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN391228100Medicaid