INNER LIGHT CHIROPRACTIC, P.A.
NPI 1396715686
Chiropractor in Brooklyn Park, MN

Q: What is Inner Light Chiropractic, P.A.'s NPI number?

The NPI number for Inner Light Chiropractic, P.A. is 1396715686. It was assigned to this organization in the NPPES registry on January 26, 2006.

Q: What is Inner Light Chiropractic, P.A.'s specialty?

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

Active since January 26, 2006

4630 97TH AVE N, BROOKLYN PARK, MN 55443(763) 486-3945 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Inner Light Chiropractic, P.a. NPPES

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

INNER LIGHT CHIROPRACTIC, P.A. (NPI 1396715686) is a healthcare organization registered as a chiropractor in Brooklyn Park, Minnesota and active in the NPI registry since January 2006. The organization lists Russell S. Derhak, President, as its authorized official.

NPPES Registry Identity

NPI1396715686

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameINNER LIGHT CHIROPRACTIC, P.A.

Location Address4630 97TH AVE NBrooklyn Park, MN 55443

Mailing Address4630 97th Ave NBrooklyn Park, MN 55443 · (763) 486-3945

Phone(763) 486-3945

Organization SubpartNo

Authorized OfficialRussell S. DerhakPresident · (612) 749-4600

Enumeration DateJanuary 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1396715686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 4717

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.

4630 97TH AVE N, Brooklyn Park, MN 55443

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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

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

DR. RUSSELL S DERHAK D.C.

Chiropractor

4630 97TH AVE N
BROOKLYN PARK, MN 55443

Hennepin County (763) 486-3945

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 Inner Light Chiropractic, P.A.'s NPI number?

The NPI number for Inner Light Chiropractic, P.A. is 1396715686. It was assigned to this organization in the NPPES registry on January 26, 2006.

Where is Inner Light Chiropractic, P.A. located?

Inner Light Chiropractic, P.A. is located at 4630 97th Ave N, Brooklyn Park, MN 55443. The listed phone number is (763) 486-3945.

What is Inner Light Chiropractic, P.A.'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 Inner Light Chiropractic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.