Barry, Diane Mae Jerome
Barry, Diane Mae Jerome is an individual health care provider with primary practice located at 1526 Grand Ave , Saint Paul MN 55105-2227. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Barry, Diane Mae Jerome can be contacted via phone (651) 690-9366.Contact Information
Primary practice address
1526 Grand Ave
Saint Paul MN 55105-2227
Phone: (651) 690-9366
Fax: (651) 690-4736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3422 | Minnesota |
Profile Details
| NPI number | 1396841540 |
|---|---|
| LBN Legal business name | Barry, Diane Mae Jerome |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Mar 6th, 2019 - about 7 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 | 1396841540 | NPPES |
| Minnesota | Other | 231957 | CHIROCARE |
| Minnesota | Other | 44-42579 | CHIROCARE |
| Minnesota | Other | 53971700 | CHIROCARE |
| Minnesota | Other | 0140 | CHIROCARE |
| Minnesota | Other | 5C183JE | CHIROCARE |
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