Advantage Chiropractic and Wellness
Organization Active NPI Clinic/Center · Prior Lake, MN
NPI 1578077442 · NPPES record last updated Nov 29, 2017
Key facts
- NPI
- 1578077442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ADVANTAGE CHIROPRACTIC AND WELLNESS
- Practice address
- 16197 Main Ave SE
Prior Lake, MN 55372-1704 - Phone
- (815) 245-1018
- NPI assigned
- Nov 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Cullen Fahey
- Title
- Owner
- Phone
- (815) 245-1018
Practitioners 1
National Provider Directory
Locations
16197 Main Ave SE
Prior Lake, MN 55372
Phone (815) 245-1018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
16197 Main Ave SE
Prior Lake, MN 55372-1704
Mailing address
16197 Main Ave SE
Prior Lake, MN 55372-1704
Phone (815) 245-1018
Other providers in Prior Lake, MN
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- Steven Alan Aaker
- Samira O Abdalla
- Zakaria Osman Abdullahi
- Jed W Adams
- Aegis Group Practice LLC
- Idil Ahmed Ahmed
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All providers in Prior Lake, MN · Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.