Provider Demographics
NPI:1841453271
Name:STUDER CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:STUDER CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STUDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACCP
Authorized Official - Phone:763-295-4797
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-1588
Mailing Address - Country:US
Mailing Address - Phone:763-295-4797
Mailing Address - Fax:763-295-2302
Practice Address - Street 1:113 LOCUST ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-8849
Practice Address - Country:US
Practice Address - Phone:763-295-4797
Practice Address - Fax:763-295-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN202845000Medicaid
MN17G13STOtherBLUE CROSS BLUE SHIELD MN
MN202845000Medicaid
MN350001854Medicare PIN