Roots Wellcare, P.A. in St Paul - Chiropractor
Roots Wellcare, P.A. - NPI 1770754392
Roots Wellcare, P.A. is a Chiropractor in St Paul, Minnesota. Roots Wellcare, P.A. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Roots Wellcare, P.A. is 1770754392. The last update date is 2008-12-10.
Roots Wellcare, P.A.'s current location address is 570 Asbury Street, St Paul, Minnesota. You can contact this provider via phone number 6513100000 and fax number 6513899491. The mailing address for Roots Wellcare, P.A. is 570 Asbury Street, St Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roots Wellcare, P.A. |
|---|---|
| Address | 570 Asbury Street, St Paul, Minnesota |
| Phone Number | 6513100000 |
| Fax Number | 6513899491 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Breunig Jean Carla |
| Credentials | D.C. |
| Telephone Number | 6516440455 |
NPI Number Detail
| NPI Number | 1770754392 |
|---|---|
| Provider Enumeration Date | 2008-03-24 |
| Last Updated Date | 2008-12-10 |
Provider Mailing Address Detail
| Address | 570 Asbury Street |
|---|---|
| City | St Paul |
| State | Minnesota (MN) |
| Post Code | 551041852 |
| Phone Number | 6513100000 |
| Fax Number | 6513899491 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3123 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 465860400 | MN | -- | |
| 3123 | MN | CHIROPRACTIC LICENSE NO. | |
| 4C181BR | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Roots Wellcare, P.A.?
The Roots Wellcare, P.A. has been issued the NPI (National Provider Identifier) 1770754392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Roots Wellcare, P.A. is located?
The Roots Wellcare, P.A. is situated at the following address: 570 Asbury Street, St Paul, MN, 551041852.
What is Roots Wellcare, P.A.'s area of expertise and its corresponding taxonomy classification?
The Roots Wellcare, P.A.'s field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When was the Roots Wellcare, P.A.'s 1770754392 issued?
The Roots Wellcare, P.A.'s 1770754392 was issued on 2008-03-24.
As of what date was the information pertaining to Roots Wellcare, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roots Wellcare, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-12-10.
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