Provider Demographics
NPI:1932393295
Name:ALBERTS CHIROPRACTIC P.A.
Entity Type:Organization
Organization Name:ALBERTS CHIROPRACTIC P.A.
Other - Org Name:HEALTHSOURCE OF ROBBINSDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ALBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-746-9023
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:763-746-9023
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:763-746-9023
Practice Address - Fax:763-746-1246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty