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4535 Hodgson Rd, Shoreview, MN 55126-1949 | |
| (651) 490-1507 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4535 Hodgson Rd, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639208739 | NPI | - | NPPES |
| 126828700 | Medicaid | MN | |
| 350004070 | Other | MN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2834 (Minnesota) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Paola Riera Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770125965 PECOS PAC ID: 7214364298 Enrollment ID: I20200420002609 |
| Provider Name | Holly M Jensrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326681172 PECOS PAC ID: 5395130280 Enrollment ID: I20220310002352 |
| Mailing Address | Practice Location Address |
|---|---|
4535 Hodgson Rd, Shoreview, MN 55126-1949 Ph: (651) 490-1507 | 4535 Hodgson Rd, Shoreview, MN 55126-1949 Ph: (651) 490-1507 |
Dr. Lisa A Randall, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1050 County Road E W, Shoreview, MN 55126 Phone: 651-484-8448 Fax: 651-484-2066 | |
Dr. Chad Alan Eiswald, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3434 Lexington Ave N, Suite 900, Shoreview, MN 55126 Phone: 651-484-4000 Fax: 651-486-0697 | |
Millsop Chiropractic, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 3570 Lexington Ave N, Ste 208, Shoreview, MN 55126 Phone: 651-400-7026 Fax: 651-481-8051 | |
Lucy Ann Gustafson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 470 Highway 96 W Ste 130, Shoreview, MN 55126 Phone: 651-252-1912 | |
Ardenview Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3434 Lexington Ave N, Shoreview, MN 55126 Phone: 651-447-2468 | |
Dr. Lucia Jane Lein, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1000 W. County Rd. E, 210, Shoreview, MN 55126 Phone: 651-766-4600 | |
Dr. Ann Elisabeth Ivey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5910 Alameda St, Shoreview, MN 55126 Phone: 651-235-4837 |