Paul Michael Maki, DC
Individual provider Active NPI Chiropractor · Eveleth, MN
NPI 1619007010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619007010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3574 (MN)
- Practice address
- 227 Grant Avenue
Eveleth, MN 55734 - Phone
- (218) 744-1910
- Fax
- (218) 744-5397
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
227 Grant Ave
Eveleth, MN 55734-1521
Phone (218) 744-1910
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090914000069 | MN | Practitioner - Chiropractic | 3678629888 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P.M.M. Enterprises Inc. | Chiropractor | Current |
Accepting new patients |
Locations
227 Grant Ave
Eveleth, MN 55734
Phone (218) 744-1910
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3574 | MN | Yes |
Addresses
Primary practice location
227 Grant Avenue
Eveleth, MN 55734
Mailing address
227 Grant Avenue
Eveleth, MN 55734
Phone (218) 744-1910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 604638 | Other | ACN GROUP | |
| 63D18EV | Other | BLUE CROSS BLUE SHIELD |
Other providers in Eveleth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.