Carol H. Lipschultz, D.C.
Individual provider Active NPI Chiropractor · Saint Paul, MN
NPI 1619083839 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619083839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 002464-6 (MN)
- Practice address
- 1866 Ashland Avenue
Saint Paul, MN 55104 - Phone
- (651) 644-9691
- Fax
- (651) 644-3815
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002464-6 | MN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002464-6 | MN | Yes |
Addresses
Primary practice location
1866 Ashland Avenue
Saint Paul, MN 55104
Mailing address
1866 Ashland Avenue
Saint Paul, MN 55104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONPROV #59353LI | Other | MN | BLUE CROSS/BLUESHIELD |
Other providers in Saint Paul, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.