Okeefe Chiropractic Clinic Inc. | |
1053 Ahland Ave., Saint Paul, MN 55104 | |
(651) 292-8072 | |
(651) 292-8722 |
Full Name | Okeefe Chiropractic Clinic Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 1053 Ahland Ave., 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 |
---|---|---|---|
1043434616 | NPI | - | NPPES |
22M4OK | Other | MN | BSBC GROUP # |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3009 (Minnesota) | Primary |
Provider Name | Janell L Matz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306966098 PECOS PAC ID: 2961434147 Enrollment ID: I20050908000739 |
Provider Name | Shannon A Okeefe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912039082 PECOS PAC ID: 7517999790 Enrollment ID: I20050908000754 |
Mailing Address | Practice Location Address |
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Okeefe Chiropractic Clinic Inc. 1053 Ahland Ave., Saint Paul, MN 55104 Ph: (651) 292-8072 | Okeefe Chiropractic Clinic Inc. 1053 Ahland Ave., Saint Paul, MN 55104 Ph: (651) 292-8072 |
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