Matthew Requa Caron, DC | |
490 Snelling Ave S, Saint Paul, MN 55116-1501 | |
(651) 699-6044 | |
(651) 699-2065 |
Full Name | Matthew Requa Caron |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 32 Years |
Location | 490 Snelling Ave S, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235288812 | NPI | - | NPPES |
338028900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3033 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caron Chiropractic Clinic, P.a. | 3577620947 | 6 |
Provider Name | Caron Chiropractic Clinic, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326259318 PECOS PAC ID: 3577620947 Enrollment ID: O20090330000534 |
Mailing Address | Practice Location Address |
---|---|
Matthew Requa Caron, DC 813 Badlands Rd, Hudson, WI 54016-7617 Ph: (715) 381-2852 | Matthew Requa Caron, DC 490 Snelling Ave S, Saint Paul, MN 55116-1501 Ph: (651) 699-6044 |
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