MEDICARE: DR. JOSHUA RICHARD JAEGER DC

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
1	111N00000X	Chiropractor	6517	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881188449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA RICHARD JAEGER DC

Provider Business Mailing Address
First Line	:	4719 BANNING AVE
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-3217
Country	:	US
Telephone Number	:	651-429-2279
Fax Number	:	651-429-4361

Provider Business Practice Location Address
First Line	:	4719 BANNING AVE
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-3217
Country	:	US
Telephone Number	:	651-429-2279
Fax Number	:	651-429-4361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2018
Last Update Date	:	03/07/2019

Similar Medicare Providers

1346346798 — DR. JAMES T BARR DC, CCSP
Practice Location Address:

4719 BANNING AVE
WHITE BEAR LAKE, MN
55110-3217

Practice Phone: 651-429-2279
Practice Fax: 651-429-2361

1154510451 — BARR FAMILY CHIROPRACTIC & SPORTS CLINIC
Practice Location Address:

4719 BANNING AVE
WHITE BEAR LAKE, MN
55110-3217

Practice Phone: 651-429-2279
Practice Fax:

1134687262 — HELIX CHIROPRACTIC PA
Practice Location Address:

4719 BANNING AVE
WHITE BEAR LAKE, MN
55110-3217

Practice Phone: 651-429-2279
Practice Fax: 651-429-2361

1891843041 — DR. JAMES CARLSON REMBAR PH.D.
Practice Location Address:

510 N BROADWAY
WHITE PLAINS, NY
10603-3217

Practice Phone: 914-949-1980
Practice Fax:

1871631440 — DR. GOPALAKRISHNA KADIYALI UPADHYA M.D.
Practice Location Address:

510 N BROADWAY
WHITE PLAINS, NY
10603-3217

Practice Phone: 914-682-1752
Practice Fax: 914-682-1752

1023156601 — MEDICAL PSYCHIATRIC PRCATICE, PC
Practice Location Address:

510 N BROADWAY
WHITE PLAINS, NY
10603-3217

Practice Phone: 914-723-3247
Practice Fax: 914-723-4211

Directions to “ DR. JOSHUA RICHARD JAEGER DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.