| Select Health Pain And Regenerative Solutions Pa | |
|
7300 France Ave S Minneapolis MN 55435-4525 | |
| (612) 518-2225 | |
| Not Available |
| Full Name | Select Health Pain And Regenerative Solutions Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 7300 France Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Jamy Christopher Antoine (OWNER) |
| Authorized Official Contact | 6125182225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Health Pain And Regenerative Solutions Pa 7300 France Ave S Minneapolis MN 55435-4525 Ph: () - | Select Health Pain And Regenerative Solutions Pa 7300 France Ave S Minneapolis MN 55435-4525 Ph: (612) 518-2225 |
| NPI Number | 1346883584 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 11/23/2020 |
| Medicare PECOS PAC ID | 9537593058 |
|---|---|
| Medicare Enrollment ID | O20191216002330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346883584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | James E Eschiti |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861548414 PECOS PAC ID: 0840180238 Enrollment ID: I20040318001031 |
| Provider Name | Jackie K Tewes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255763900 PECOS PAC ID: 0941444392 Enrollment ID: I20130925000235 |
| Provider Name | Nicole M Siddons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803403 PECOS PAC ID: 7113205923 Enrollment ID: I20161031000174 |
| Provider Name | Lindsey Koterba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482290 PECOS PAC ID: 6608146006 Enrollment ID: I20170718001424 |
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