Dr. Mallori Beth Dombrock
Pediatric Chiropractor
21450 Highway 7
Excelsior
, Minnesota 55331-7205
Dr. Mallori Beth Dombrock
Pediatric Chiropractor
21450 Highway 7
Excelsior
, Minnesota 55331-7205
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About
Features
Specialties
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Mallori Beth Dombrock
- 21450 Highway 7
- Excelsior, MN
- Zip : 55331-7205
- Phone :
Second Address
- Dr. Mallori Beth Dombrock
- 21450 Highway 7
- Excelsior, MN
- Zip : 55331-7205
- Fax : (952) 474-2375
- Phone : (952) 474-9393
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FAQs
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Is Dr. Mallori Beth Dombrock a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NP0017X | Pediatric Chiropractor | 5909 | MN |
National Provider Identifier
| NPI | 1124386172 |
|---|---|
| Provider Name | Dr. Mallori Beth Dombrock |
| First Address | Excelsior, MN 55331-7205 |
| Second Address | Excelsior, MN 55331-7205 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2012 |
| Last Update Date | 14/09/2018 |
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.