Active NPI
Audette Chiropractic Clinic P.a.
- Chiropractor
- Duluth, MN
National Provider Identifier
1831250810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2105
- Legal business name
- AUDETTE CHIROPRACTIC CLINIC P.A.
- Practice address
- 438 N 57TH Ave W
Duluth, MN 55807-3723 - Phone
- (218) 624-5759
- Fax
- (218) 624-4668
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Ann Audette, D.C.
- Title
- Owner
- Phone
- (218) 624-5759
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2105 | MN | Primary |
Addresses
Primary practice location
438 N 57TH Ave W
Duluth, MN 55807-3723
Mailing address
438 N 57TH Ave W
Duluth, MN 55807-3723
Phone (218) 624-5759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06720AU | Other | MN | BCBS MN |
National Provider Directory
National Provider DirectoryLocations
438 N 57th Ave W
Duluth, MN 55807
Phone (218) 624-2452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197849600000",
"number": "1831250810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 N 57TH AVE W",
"city": "DULUTH",
"state": "MN",
"postal_code": "558073723",
"telephone_number": "218-624-5759",
"fax_number": "218-624-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 N 57TH AVE W",
"city": "DULUTH",
"state": "MN",
"postal_code": "558073723",
"telephone_number": "218-624-5759",
"fax_number": "218-624-4668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDETTE CHIROPRACTIC CLINIC P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2007-12-17",
"status": "A",
"authorized_official_last_name": "AUDETTE",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-624-5759",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "2105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "06720AU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.