| Skipped Parts Llc | |
|
357 Kellogg Blvd E Saint Paul MN 55101-1411 | |
| (612) 578-2167 | |
| Not Available |
| Full Name | Skipped Parts Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 357 Kellogg Blvd E, Saint Paul, Minnesota |
| Authorized Official Name and Position | Marie Grace (CO-OWNER) |
| Authorized Official Contact | 6125782167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skipped Parts Llc 357 Kellogg Blvd E Saint Paul MN 55101-1411 Ph: () - | Skipped Parts Llc 357 Kellogg Blvd E Saint Paul MN 55101-1411 Ph: (612) 578-2167 |
| NPI Number | 1922407972 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922407972 | NPI | - | NPPES |
| 1568876381 | Other | MN | PROVIDER NPI |
| 1336548387 | Other | MN | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2916 (Minnesota) | Primary |
| 251S00000X | Community/behavioral Health | CC00826 (Minnesota) | Secondary |
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