Wellway Chiropractic P.c. | |
2905 Northwest Blvd Ste 230, Plymouth, MN 55441-2644 | |
(612) 367-4824 | |
Not Available |
Full Name | Wellway Chiropractic P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 2905 Northwest Blvd Ste 230, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538758479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Joshua J Hague |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558375451 PECOS PAC ID: 2668491036 Enrollment ID: I20051115000412 |
Provider Name | Joel T Anthony |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265773931 PECOS PAC ID: 0042433872 Enrollment ID: I20140524000039 |
Provider Name | Joseph Jacobson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1093220477 PECOS PAC ID: 1153662952 Enrollment ID: I20190404000373 |
Mailing Address | Practice Location Address |
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Wellway Chiropractic P.c. 2905 Northwest Blvd Ste 230, Plymouth, MN 55441-2644 Ph: (612) 367-4824 | Wellway Chiropractic P.c. 2905 Northwest Blvd Ste 230, Plymouth, MN 55441-2644 Ph: (612) 367-4824 |
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