LAKE NICOLLET CLINIC, PA
NPI 1245675511
Chiropractor in Minneapolis, MN

Active since May 01, 2013
ONE WEST LAKE STREET, SUITE 195, MINNEAPOLIS, MN 55408(612) 259-7570(612) 886-3427 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake Nicollet Clinic, Pa NPPES

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

LAKE NICOLLET CLINIC, PA (NPI 1245675511) is a healthcare organization registered as a chiropractor in Minneapolis, Minnesota and active in the NPI registry since May 2013. The organization lists Artur Victor Guzhagin, President, as its authorized official.

NPPES Registry Identity

NPI1245675511
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKE NICOLLET CLINIC, PA
Location AddressONE WEST LAKE STREET, SUITE 195Minneapolis, MN 55408-3362
Mailing AddressPo Box 80808Minneapolis, MN 55408-8808 · (612) 259-7570 · Fax (612) 886-3427
Fax(612) 886-3427
Organization SubpartNo
Authorized OfficialArtur Victor GuzhaginPresident · (612) 259-7570
Enumeration DateMay 1, 2013
NPI 1245675511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 1176
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.

ONE WEST LAKE STREET, Minneapolis, MN 55408

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245675511, enumerated as an "organization" on May 01, 2013.

The provider is located at ONE WEST LAKE STREET SUITE 195 MINNEAPOLIS, MN 55408 and the phone number is (612) 259-7570.

Chiropractor with taxonomy code 111N00000X.