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Active NPI 1639415771 Organization (Entity Type 2)

Basic Balance Chiropractic

Chiropractor • Eagan, MN

About Basic Balance Chiropractic NPI 1639415771 Summary

Basic Balance Chiropractic is a verified healthcare organization specializing in Chiropractor operating in Eagan, MN. Located at 3440 FEDERAL DR, 120, this facility provides patient care and medical services under National Provider Identifier (NPI) 1639415771.

Administrative operations and authorized compliance are overseen by Amber Miller (President).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3440 Federal Dr
120

Eagan, MN 551223501

Telephone 6127872055

Authorized Official Information

Authorized Contact Name

DR. Amber Miller , D.C.

Title / Role

President

Official Telephone

6127872055

Facility Classifications & Specialties

Chiropractor Primary Taxonomy

NUCC Taxonomy Code: 111N00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked
Shawn Bulgatz , LMFT NPI 1174743561

Marriage & Family Therapist

Eagan, MN

View Practitioner Profile →

Chiropractor

Eagan, MN

View Practitioner Profile →

Massage Therapist

Eagan, MN

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 04, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 04, 2013

Registered at 3440 FEDERAL DR, 120, EAGAN, MN 551223501 (Tel: 6127872055)

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Updated Business Mailing Address June 04, 2013

Registered at 3440 FEDERAL DR STE 120, EAGAN, MN 551223516 (Tel: 6127872055)

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Organization / Clinic Name Updated June 04, 2013

Operating as BASIC BALANCE CHIROPRACTIC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2013

Chiropractor (License #5321 in MN)

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Initial NPI Registration & Enumeration December 18, 2012

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1639415771
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 18, 2012
Last Update: June 04, 2013

Mailing Address

3440 Federal Dr Ste 120

Eagan, MN 551223516

Phone: 6127872055

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.