| Active Health Chiropractic | |
|
50 Cretin Ave S Saint Paul MN 55105-1042 | |
| (952) 201-3420 | |
| (651) 304-1700 |
| Full Name | Active Health Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 Cretin Ave S, Saint Paul, Minnesota |
| Authorized Official Name and Position | Danielle Trego Finden (OWNER) |
| Authorized Official Contact | 9522013420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Health Chiropractic 423 Fairview Ave S Saint Paul MN 55105-1707 Ph: (952) 201-3420 | Active Health Chiropractic 50 Cretin Ave S Saint Paul MN 55105-1042 Ph: (952) 201-3420 |
| NPI Number | 1558512632 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 09/24/2009 |
| Medicare PECOS PAC ID | 3274694013 |
|---|---|
| Medicare Enrollment ID | O20081211000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558512632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5115 (Minnesota) | Primary |
| Provider Name | Danielle T Finden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932371762 PECOS PAC ID: 3173695335 Enrollment ID: I20080702000542 |
| Provider Name | Kristen A Moddrell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659606176 PECOS PAC ID: 8325174824 Enrollment ID: I20100408000378 |
| Provider Name | Emily Kathryn Yenter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730574310 PECOS PAC ID: 2365762275 Enrollment ID: I20150515002164 |
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