South St. Paul Family Chiropractic, Ltd | |
1345 Thompson Ave, South St Paul, MN 55075-1410 | |
(651) 450-2366 | |
(651) 450-2388 |
Full Name | South St. Paul Family Chiropractic, Ltd |
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Type | Facility |
Speciality | Chiropractor |
Location | 1345 Thompson Ave, South St 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 |
---|---|---|---|
1326056672 | NPI | - | NPPES |
819680000 | Medicaid | MN | |
026J9SO | Other | MN | BCBS |
C04328 | Other | MN | MEDICARE PTAN |
350051301 | Other | MN | RAILROAD MEDICARE |
DF3118 | Other | MN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4023 (Minnesota) | Primary |
Provider Name | Julie C Foote |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992713226 PECOS PAC ID: 9638173990 Enrollment ID: I20060830000064 |
Mailing Address | Practice Location Address |
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South St. Paul Family Chiropractic, Ltd 1345 Thompson Ave, P.o. Box 122, South St Paul, MN 55075-1410 Ph: (651) 450-2366 | South St. Paul Family Chiropractic, Ltd 1345 Thompson Ave, South St Paul, MN 55075-1410 Ph: (651) 450-2366 |
Virginia Ann Rivas-castro, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1020 Marie Ave, South St Paul, MN 55075 Phone: 715-379-2587 | |
Dr. Julie C Foote, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1345 Thompson Ave, South St Paul, MN 55075 Phone: 651-450-2366 Fax: 651-450-2388 |