Provider Demographics
NPI:1912079534
Name:ROBBINSDALE CHIROCENTER INC.
Entity Type:Organization
Organization Name:ROBBINSDALE CHIROCENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ALLENBURG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-537-3927
Mailing Address - Street 1:4926 42ND AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-1731
Mailing Address - Country:US
Mailing Address - Phone:763-537-3927
Mailing Address - Fax:763-537-1421
Practice Address - Street 1:4926 42ND AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-1731
Practice Address - Country:US
Practice Address - Phone:763-537-3927
Practice Address - Fax:763-537-1421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2266111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN02493ROOtherBCBS OF MN GROUP #
MN648559OtherMEDICA MN GROUP #
MN648559OtherMEDICA MN GROUP #