Provider Demographics
NPI:1548478480
Name:NEW CONCEPT CHIROPRACTIC
Entity type:Organization
Organization Name:NEW CONCEPT CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-898-7250
Mailing Address - Street 1:14031 BURNHAVEN DR STE 105
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4474
Mailing Address - Country:US
Mailing Address - Phone:952-898-7250
Mailing Address - Fax:952-898-1622
Practice Address - Street 1:14031 BURNHAVEN DR STE 105
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4474
Practice Address - Country:US
Practice Address - Phone:952-898-7250
Practice Address - Fax:952-898-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN66D83NEOtherBLUECROSSBLUESHIELD