Lake Nicollet Clinic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1176 Issued in MN

Legal business name

LAKE NICOLLET CLINIC, PA

Practice address

One West Lake Street
Suite 195
Minneapolis, MN 55408-3362

Phone

(612) 259-7570

Fax

(612) 886-3427

NPI assigned

May 1, 2013

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Artur Victor Guzhagin, DC

Title

President

Phone

(612) 259-7570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arthur Guzhagin

  • Chiropractor
  • Minneapolis, MN
  • NPI 1033547294
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1245675511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80808",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554088808",
            "telephone_number": "612-259-7570",
            "fax_number": "612-886-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WEST LAKE STREET",
            "address_2": "SUITE 195",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083362",
            "telephone_number": "612-259-7570",
            "fax_number": "612-886-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NICOLLET CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "GUZHAGIN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-259-7570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lake Harriet Operator LLC (Lake Harriet Nursing and Rehabilitation Center)
• Lake Nokomis Home Health Care Inc
• Lake Pointe Chiropractic Centre (Lake Pointe Chiropractic & Wellness)
• Lake Street Dental
• Lake Street Pain Relief Center, Inc
• Lake Transportation Inc

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.