Organization · Type 2 NPI

Healthsource of ST Paul

Chiropractor · St. Paul, MN

NPI number 1609106582 Active

Practice location

1815 Suburban Ave
St. Paul, MN 55119-4302

Fax (651) 739-6029

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X547 (MN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

7 other providers at this address

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About NPI 1609106582

Healthsource of ST Paul's National Provider Identifier is 1609106582, issued on Dec 28, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 19, 2010.