Crest Chiropractic Clinic | |
1497 White Bear Ave N, Saint Paul, MN 55106-2414 | |
(651) 776-7100 | |
(651) 776-2415 |
Full Name | Crest Chiropractic Clinic |
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Type | Facility |
Speciality | Chiropractor |
Location | 1497 White Bear Ave N, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285829267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1368 (Minnesota) | Primary |
Provider Name | Charles C Rawlings |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770630048 PECOS PAC ID: 2668657628 Enrollment ID: I20110506000426 |
Mailing Address | Practice Location Address |
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Crest Chiropractic Clinic 1497 White Bear Ave N, Saint Paul, MN 55106-2414 Ph: (651) 776-7100 | Crest Chiropractic Clinic 1497 White Bear Ave N, Saint Paul, MN 55106-2414 Ph: (651) 776-7100 |
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