Roots Wellcare, P.A.

LBN: Roots Wellcare, P.A.
Roots Wellcare, P.A. is an health care organization with primary practice located at 570 Asbury Street Suite 102, St Paul MN 55104-1852. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Roots Wellcare, P.A. can be contacted via phone (651) 310-0000, or through Breunig, Carla Jean via phone (651) 644-0455.

Contact Information

Primary practice address
570 Asbury Street Suite 102 St Paul MN 55104-1852
Phone: (651) 310-0000
Fax: (651) 389-9491
Website:
Map and Directions
Authorized official contact:
Name: Breunig, Carla Jean Doctor of Chiropractic (DC)
Phone: (651) 644-0455

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3123 Minnesota

Profile Details

NPI number 1770754392
LBN Legal business name Roots Wellcare, P.A.
DBA Doing business as
Authorized official Breunig, Carla Jean Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Dec 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770754392 NPPES
Minnesota MEDICAID 465860400
Minnesota Other 3123
Minnesota Other 4C181BR

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