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NPI Code Detail

MEDICARE: HEALING HANDS WELLNESS CENTER LLC

MEDICARE: HEALING HANDS WELLNESS CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4864MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1381L7JUOTHERMNBCBS CLINIC ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306021258
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING HANDS WELLNESS CENTER LLC
Provider Business Mailing Address
First Line : 1036 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1826
Country : US
Telephone Number : 651-699-3366
Fax Number :
Provider Business Practice Location Address
First Line : 1036 CLEVELAND AVE S
Second Line :
City : SAINT PAUL
State : MN
Zip : 55116-1826
Country : US
Telephone Number : 651-699-3366
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ERIC A STARBUCK
Credential : DC
Telephone Number : 651-699-3366
Provider Enumeration Date : 01/09/2008
Last Update Date : 10/16/2009

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Directions to “HEALING HANDS WELLNESS CENTER LLC ” Practice Location

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