Dr. Brian Mark Devitt
Chiropractor Rehabilitation Chiropractor
14033 Commerce Ave Ne Ste 300-401
Prior Lake
, Minnesota 55372-1438
Dr. Brian Mark Devitt
Chiropractor Rehabilitation Chiropractor
14033 Commerce Ave Ne Ste 300-401
Prior Lake
, Minnesota 55372-1438
(763) 694-1974
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About
Features
Specialties
- Chiropractor
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Brian Mark Devitt
- 14033 Commerce Ave Ne Ste 300-401
- Prior Lake, MN
- Zip : 55372-1438
- Phone : (763) 694-1974
Second Address
- Dr. Brian Mark Devitt
- 14033 Commerce Ave Ne Ste 300-401
- Prior Lake, MN
- Zip : 55372-1438
- Phone : (763) 694-1974
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Is Dr. Brian Mark Devitt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3842 | MN |
| N | 111NR0400X | Rehabilitation Chiropractor | 3842 | MN |
National Provider Identifier
| NPI | 1306074349 |
|---|---|
| Provider Name | Dr. Brian Mark Devitt |
| First Address | Prior Lake, MN 55372-1438 |
| Second Address | Prior Lake, MN 55372-1438 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2009 |
| Last Update Date | 25/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.