Individual
JOSEPH B CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
402 PENN AVE SOUTH, MPLS, MN 55405
(612) 377-3248
Mailing address
402 PENN AVE SOUTH, MPLS, MN 55405
(612) 377-3248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2029
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54G30CA
BCBS OF MN
MN
Enumeration date
02/26/2007
Last updated
07/08/2007
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