Provider Demographics
NPI:1770601130
Name:ALBERTS, JOSEPH M (CHIROPRACTOR)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:ALBERTS
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4064 LAKELAND AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-2236
Mailing Address - Country:US
Mailing Address - Phone:763-746-1244
Mailing Address - Fax:763-746-1246
Practice Address - Street 1:4064 LAKELAND AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2236
Practice Address - Country:US
Practice Address - Phone:763-746-1244
Practice Address - Fax:163-746-1246
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4929OtherCHIROPRACTIC LICENSE