Healthcare Provider Details

I. General information

NPI: 1962685578
Provider Name (Legal Business Name): FRENCH MADE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 GRAND AVENUE SUITE 100
SAINT PAUL MN
55105
US

IV. Provider business mailing address

1942 SAUNDERS AVENUE
SAINT PAUL MN
55116
US

V. Phone/Fax

Practice location:
  • Phone: 651-227-6865
  • Fax:
Mailing address:
  • Phone: 612-715-6875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number1124
License Number StateMN

VIII. Authorized Official

Name: JESSICA FRENCH
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 651-227-6865