HEALTH SOURCE SHOREWOOD
NPI 1013140599
Chiropractor in Excelsior, MN

Active since August 31, 2009
6140 LAKE LINDEN DR, SUITE 100, EXCELSIOR, MN 55331(952) 474-0886 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Health Source Shorewood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH SOURCE SHOREWOOD (NPI 1013140599) is a healthcare organization registered as a chiropractor in Excelsior, Minnesota and active in the NPI registry since August 2009. The organization lists Howard Fidler, President, as its authorized official.

NPPES Registry Identity

NPI1013140599
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTH SOURCE SHOREWOOD
Location Address6140 LAKE LINDEN DR, SUITE 100Excelsior, MN 55331-2954
Mailing Address6140 Lake Linden Dr, Suite 100Excelsior, MN 55331-2954 · (952) 474-0886
Organization SubpartNo
Authorized OfficialHoward FidlerPresident · (952) 474-0886
Enumeration DateAugust 31, 2009
NPI 1013140599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 4856
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6140 LAKE LINDEN DR, Excelsior, MN 55331

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
6140 LAKE LINDEN DR, SUITE 100
EXCELSIOR, MN 55331
Dentist
6140 LAKE LINDEN DR, SUITE 111
EXCELSIOR, MN 55331
Dentist (General Practice)
6140 LAKE LINDEN DR, SUITE 230
EXCELSIOR, MN 55331
Counselor (Mental Health)
6140 LAKE LINDEN DR
SHOREWOOD, MN 55331
Dentist
6140 LAKE LINDEN DR
EXCELSIOR, MN 55331
Dentist
6140 LAKE LINDEN DR, SUITE #230
EXCELSIOR, MN 55331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Source Shorewood's NPI number?

The NPI number for Health Source Shorewood is 1013140599. It was assigned to this organization in the NPPES registry on August 31, 2009.

Where is Health Source Shorewood located?

Health Source Shorewood is located at 6140 Lake Linden Dr Suite 100, Excelsior, MN 55331. The listed phone number is (952) 474-0886.

What is Health Source Shorewood's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Health Source Shorewood was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.