Blomdahl, Krista Ann
Blomdahl, Krista Ann is an individual health care provider with primary practice located at 203 Park Ave S Ste 101 , Saint Cloud MN 56301-6146. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Blomdahl, Krista Ann can be contacted via phone (320) 253-5659.Contact Information
Primary practice address
203 Park Ave S Ste 101
Saint Cloud MN 56301-6146
Phone: (320) 253-5659
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6186 | Minnesota |
Profile Details
| NPI number | 1649636283 |
|---|---|
| LBN Legal business name | Blomdahl, Krista Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2016 |
| Last updated | Apr 25th, 2017 - about 9 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 | 1649636283 | NPPES |
| Minnesota | MEDICAID | 1073817169 | |
| Minnesota | MEDICAID | 1407832512 | |
| Minnesota | MEDICAID | 1851378376 | |
| Minnesota | MEDICAID | 1578541843 |
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