Dr. Paul Jeffrey Dettling
Chiropractic Sports Physician
615 66th Ave N
Brooklyn Center
, Minnesota 55430-1667
Dr. Paul Jeffrey Dettling
Chiropractic Sports Physician
615 66th Ave N
Brooklyn Center
, Minnesota 55430-1667
(763) 560-0611
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Paul Jeffrey Dettling
- 615 66th Ave N Ste 2
- Brooklyn Center, MN
- Zip : 55430-1666
- Fax : (763) 560-0611
- Phone : (763) 560-8980
Second Address
- Dr. Paul Jeffrey Dettling
- 615 66th Ave N
- Brooklyn Center, MN
- Zip : 55430-1667
- Phone : (763) 560-8980
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 6125 | MN |
National Provider Identifier
| NPI | 1306213798 |
|---|---|
| Provider Name | Dr. Paul Jeffrey Dettling |
| First Address | Brooklyn Center, MN 55430-1666 |
| Second Address | Brooklyn Center, MN 55430-1667 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
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.