Organization
PERREAULT CHIROPRACTIC
Active
Other names
Roger E Perreault
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER E PERREAULT DC (OWNER/OPERATOR)
(320) 325-3441
Entity
Organization
Contact information
Practice address
263 W 4TH ST, RUSH CITY, MN 55069
(320) 358-3441
(320) 358-3624
Mailing address
P O BOX 86, 263 W 4TH ST, RUSH CITY, MN 55069
(320) 358-3441
(320) 358-3624
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1D067PE
BLUE CROSS/BLUE SHIELD
MN
01
—
230668
CHIROPRACTIC CARE OF MN
MN
Enumeration date
10/02/2006
Last updated
08/22/2020
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