Provider Demographics
NPI:1144885336
Name:PLAAS, MCCABE F (DC)
Entity type:Individual
Prefix:
First Name:MCCABE
Middle Name:F
Last Name:PLAAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:LUTSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55612-0054
Mailing Address - Country:US
Mailing Address - Phone:612-382-4391
Mailing Address - Fax:
Practice Address - Street 1:101 W HIGHWAY 61
Practice Address - Street 2:
Practice Address - City:GRAND MARAIS
Practice Address - State:MN
Practice Address - Zip Code:55604-2333
Practice Address - Country:US
Practice Address - Phone:218-387-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor