| Complete Chiropractic Health Services, P.a. | |
|
1526 Grand Ave, St. Paul, MN 55105 | |
| (651) 690-9366 | |
| Not Available |
| Full Name | Complete Chiropractic Health Services, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1526 Grand Ave, St. Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992864961 | NPI | - | NPPES |
| 939273400 | Medicaid | MN | |
| 27377RE | Other | MN | BCBS CLINIC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Diane Barry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396841540 PECOS PAC ID: 3476579905 Enrollment ID: I20060224000026 |
| Provider Name | Daniel James Hafner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457311391 PECOS PAC ID: 4587684980 Enrollment ID: I20101018000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Chiropractic Health Services, P.a. 1526 Grand Ave, St. Paul, MN 55105 Ph: (651) 690-9366 | Complete Chiropractic Health Services, P.a. 1526 Grand Ave, St. Paul, MN 55105 Ph: (651) 690-9366 |
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