Richard Alan Stoffels, D.C.
Individual provider Active NPI Chiropractor · Saint Paul, MN
NPI 1962544007 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962544007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1478 (MN)
- Practice address
- 130 Butler Ave E
Saint Paul, MN 55118-1501 - Phone
- (651) 457-8646
- Fax
- (651) 457-9164
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1478 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stoffels Chiropractic Office LTD | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1478 | MN | Yes |
Addresses
Primary practice location
130 Butler Ave E
Saint Paul, MN 55118-1501
Mailing address
130 Butler Ave E
Saint Paul, MN 55118-1501
Phone (651) 457-8646
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.