Vital Elements Healing Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VITAL ELEMENTS HEALING CENTER LLC

Practice address

9975 Valley View Rd
Eden Prairie, MN 55344-3526

Phone

(941) 952-1087

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Josie Runyan, DC

Title

Owner

Phone

(941) 952-1087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1558840595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16710 24TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554472212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 VALLEY VIEW RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443526",
            "telephone_number": "941-952-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL ELEMENTS HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-952-1087",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven Lawrence Vollmer, R.PH.

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.