Organization
MYSTICAL ROSE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE WANJIRU NJOGU D.C. (PRESIDENT)
(612) 310-8662
Entity
Organization
Contact information
Practice address
8200 HUMBOLDT AVE S, SUITE 204, BLOOMINGTON, MN 55431-1433
(952) 884-6144
(952) 884-9180
Mailing address
8200 HUMBOLDT AVE S, SUITE 204, BLOOMINGTON, MN 55431-1433
(952) 884-6144
(952) 884-9180
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1094
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05946
MEDICARE PTAN NUMBER
MN
Enumeration date
10/20/2011
Last updated
04/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us