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WELLNESS COOPERATIVE LLC
NPI 1659512622
Chiropractor in St. Paul, MN

Active since March 20, 2009
976 GRAND AVE., ST. PAUL, MN 55105(651) 292-0050(651) 292-1076 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellness Cooperative Llc NPPES

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

WELLNESS COOPERATIVE LLC (NPI 1659512622), doing business as Grandave Natural Medicine, is a healthcare organization registered as a chiropractor in St. Paul, Minnesota and active in the NPI registry since March 2009. The organization lists Joshua J Hague, Owner, as its authorized official.

NPPES Registry Identity

NPI1659512622
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWELLNESS COOPERATIVE LLC
Location Address976 GRAND AVE.St. Paul, MN 55105
Mailing Address976 Grand Ave.St. Paul, MN 55105 · (651) 292-0050 · Fax (651) 292-1076
Phone(651) 292-0050
Fax(651) 292-1076
Organization SubpartNo
Authorized OfficialJoshua J HagueOwner · (651) 292-0050
Enumeration DateMarch 20, 2009
Last NPPES UpdateNovember 24, 2014
✔ NPI 1659512622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4667
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.
976 GRAND AVE., St. Paul, MN 55105
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Other Names 1

Former Legal Business NameGrandave Natural Medicine

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 NPPES & CMS

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

What is Wellness Cooperative LLC's NPI number?

The NPI number for Wellness Cooperative LLC is 1659512622. It was assigned to this organization in the NPPES registry on March 20, 2009. The provider was formerly known as Grandave Natural Medicine.

Where is Wellness Cooperative LLC located?

Wellness Cooperative LLC is located at 976 Grand Ave., St. Paul, MN 55105. The listed phone number is (651) 292-0050.

What is Wellness Cooperative LLC'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 Wellness Cooperative LLC was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.