LIGHTHOUSE CHIROPRACTIC CLLINIC, PLLC - NPI 1952744831

Q: What is Lighthouse Chiropractic Cllinic, PLLC's specialty?

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

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About Lighthouse Chiropractic Cllinic, Pllc NPPES

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

LIGHTHOUSE CHIROPRACTIC CLLINIC, PLLC (NPI 1952744831) is a healthcare organization registered as a chiropractor in Grand Rapids, Minnesota and active in the NPI registry since April 2013. The organization lists Shalymar C Troumbly, Owner, as its authorized official.

NPPES Registry Identity

NPI1952744831

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLIGHTHOUSE CHIROPRACTIC CLLINIC, PLLC

Location Address2412 N.E. 27TH AVENUEGrand Rapids, MN 55744-5793

Mailing Address2412 N.e. 27th AvenueGrand Rapids, MN 55744-5793 · (218) 326-1104

Phone(218) 326-1104

Organization SubpartNo

Authorized OfficialShalymar C TroumblyOwner · (218) 326-1104

Enumeration DateApril 10, 2013

✔ NPI 1952744831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 3659

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.

2412 N.E. 27TH AVENUE, Grand Rapids, MN 55744

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Other Identifiers 6

Other281M0LIMN · Bcbsm Contracting Provider

Other350003063MN · Medicare

Other291M7NEMN · Bcbsm Individual Provider

OtherCC10368MN · Chiropractic Care Of Mn

Other456719600MN · Mdhs

Medicare UPINU95355MN

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 Lighthouse Chiropractic Cllinic, PLLC's NPI number?

The NPI number for Lighthouse Chiropractic Cllinic, PLLC is 1952744831. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is Lighthouse Chiropractic Cllinic, PLLC located?

Lighthouse Chiropractic Cllinic, PLLC is located at 2412 N.E. 27th Avenue, Grand Rapids, MN 55744. The listed phone number is (218) 326-1104.

What is Lighthouse Chiropractic Cllinic, PLLC'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 Lighthouse Chiropractic Cllinic, PLLC was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.