Provider Demographics
NPI:1639265432
Name:BYE, JANE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:MARIE
Last Name:BYE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:MARIE
Other - Last Name:STEFFEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:500 WEST HIGHWAY 96
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126
Mailing Address - Country:US
Mailing Address - Phone:651-483-4040
Mailing Address - Fax:651-490-9498
Practice Address - Street 1:500 WEST HIGHWAY 96
Practice Address - Street 2:SUITE 150
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126
Practice Address - Country:US
Practice Address - Phone:651-483-4040
Practice Address - Fax:651-490-9498
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP00079338OtherRAILROAD MEDICARE
MN1G117STOtherBLUE CROSS BLUE SHIELD
MN574027400Medicaid
MN574027400Medicaid