Organization
WATKINS FAMILY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA TAIJ WATKINS D.C. (OWNER)
(952) 440-4553
Entity
Organization
Contact information
Practice address
6001 EGAN DR, SUITE 120, SAVAGE, MN 55378-4921
(952) 440-4553
(952) 440-4573
Mailing address
6001 EGAN DR, SUITE 120, SAVAGE, MN 55378-4921
(952) 440-4553
(952) 440-4573
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
457693400
MINNESOTA CARE
MN
01
—
67G17WA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/31/2006
Last updated
12/19/2012
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