Organization
SOUTH ST. PAUL FAMILY CHIROPRACTIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE C FOOTE D.C. (OWNER)
(651) 450-2366
Entity
Organization
Contact information
Practice address
1345 THOMPSON AVE, SOUTH ST PAUL, MN 55075-1410
(651) 450-2366
(651) 450-2388
Mailing address
1345 THOMPSON AVE, P.O. BOX 122, SOUTH ST PAUL, MN 55075-1410
(651) 450-2366
(651) 450-2388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4023
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026J9SO
BCBS
MN
01
—
350051301
RAILROAD MEDICARE
MN
05
—
819680000
—
MN
01
—
C04328
MEDICARE PTAN
MN
01
—
DF3118
RAILROAD MEDICARE
MN
Enumeration date
08/03/2006
Last updated
10/19/2015
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