Organization
HEALTHWAYS CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ST. CLAIR DC (PRESIDENT)
(612) 869-7371
Entity
Organization
Contact information
Practice address
7400 LYNDALE AVE S STE 190, RICHFIELD, MN 55423-4142
(612) 869-7371
(612) 869-2761
Mailing address
7400 LYNDALE AVE S STE 190, RICHFIELD, MN 55423-4142
(612) 869-7371
(612) 869-2761
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1768
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639179625
INDIV. NPI
MN
01
—
16712CL
BCBSM ID
MN
01
—
1C007ST
BCBSM INDIV. PROV. NO.
MN
01
—
44-48356
MEDICA ID
MN
01
—
88651
HEALTH PARTNERS UPIN
MN
Enumeration date
02/06/2007
Last updated
08/22/2020
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