Balsimo, Larry Steven
Balsimo, Larry Steven is an individual health care provider with primary practice located at 4066 White Bear Ave N , White Bear Lake MN 55110-4305. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Balsimo, Larry Steven can be contacted via phone (651) 407-0402.Contact Information
Primary practice address
4066 White Bear Ave N
White Bear Lake MN 55110-4305
Phone: (651) 407-0402
Fax: (651) 407-0413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | #2606 | Minnesota |
Profile Details
| NPI number | 1619066875 |
|---|---|
| LBN Legal business name | Balsimo, Larry Steven |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619066875 | NPPES |
| Minnesota | Other | 302L1BA | BLUE CROSS BLUE SHIELD |
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