| Alliance Chiropractic Health Center | |
|
3495 Willow Lake Blvd Suite 300 Saint Paul MN 55110-5138 | |
| (651) 766-3855 | |
| (651) 766-7884 |
| Full Name | Alliance Chiropractic Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 3495 Willow Lake Blvd, Saint Paul, Minnesota |
| Authorized Official Name and Position | Thomas Owen Ayres (OWNER/PRESIDENT) |
| Authorized Official Contact | 6517663855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Chiropractic Health Center 3495 Willow Lake Blvd Suite 300 Saint Paul MN 55110-5138 Ph: (651) 766-3855 | Alliance Chiropractic Health Center 3495 Willow Lake Blvd Suite 300 Saint Paul MN 55110-5138 Ph: (651) 766-3855 |
| NPI Number | 1962684621 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962684621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 620 (Minnesota) | Primary |
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