Crane, Jesse Jerod

Crane, Jesse Jerod is an individual health care provider with primary practice located at 9900 Valley Creek Rd Suite 145 , Woodbury MN 55125. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Crane, Jesse Jerod can be contacted via phone (651) 734-1123.

Contact Information

Primary practice address
9900 Valley Creek Rd Suite 145 Woodbury MN 55125
Phone: (651) 734-1123
Fax: (651) 734-1109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3831 Minnesota

Profile Details

NPI number 1922133602
LBN Legal business name Crane, Jesse Jerod
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Dec 21st, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922133602 NPPES
Minnesota Other 74505 HEALTH PARTNERS
Minnesota MEDICAID 413972100 HEALTH PARTNERS
Minnesota Other 97D67CR HEALTH PARTNERS
Minnesota Other 4486993 HEALTH PARTNERS

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