| South St. Paul Family Chiropractic, Ltd | |
|
1345 Thompson Ave, South St Paul, MN 55075-1410 | |
| (651) 450-2366 | |
| (651) 450-2388 |
| Full Name | South St. Paul Family Chiropractic, Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1345 Thompson Ave, South 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 |
|---|---|---|---|
| 1326056672 | NPI | - | NPPES |
| 819680000 | Medicaid | MN | |
| 026J9SO | Other | MN | BCBS |
| C04328 | Other | MN | MEDICARE PTAN |
| 350051301 | Other | MN | RAILROAD MEDICARE |
| DF3118 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4023 (Minnesota) | Primary |
| Provider Name | Julie C Foote |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992713226 PECOS PAC ID: 9638173990 Enrollment ID: I20060830000064 |
| Mailing Address | Practice Location Address |
|---|---|
| South St. Paul Family Chiropractic, Ltd 1345 Thompson Ave, P.o. Box 122, South St Paul, MN 55075-1410 Ph: (651) 450-2366 | South St. Paul Family Chiropractic, Ltd 1345 Thompson Ave, South St Paul, MN 55075-1410 Ph: (651) 450-2366 |
Virginia Ann Rivas-castro, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1020 Marie Ave, South St Paul, MN 55075 Phone: 715-379-2587 | |
Dr. Julie C Foote, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1345 Thompson Ave, South St Paul, MN 55075 Phone: 651-450-2366 Fax: 651-450-2388 |