Provider Demographics
NPI:1740552124
Name:ACHIEVE HEALTH CHIROPRACTIC CLINIC, P.A.
Entity type:Organization
Organization Name:ACHIEVE HEALTH CHIROPRACTIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-545-3839
Mailing Address - Street 1:13911 RIDGEDALE DR STE 255
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1773
Mailing Address - Country:US
Mailing Address - Phone:952-545-3839
Mailing Address - Fax:952-546-0168
Practice Address - Street 1:13911 RIDGEDALE DR STE 255
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1773
Practice Address - Country:US
Practice Address - Phone:952-545-3839
Practice Address - Fax:952-546-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5431111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty