Eastlund, Gregory Eugene

Eastlund, Gregory Eugene is an sole proprietor health care provider with primary practice located at 3035 White Bear Ave N Ste 10 , Maplewood MN 55109-1321. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Eastlund, Gregory Eugene can be contacted via phone (651) 779-9282.

Contact Information

Primary practice address
3035 White Bear Ave N Ste 10 Maplewood MN 55109-1321
Phone: (651) 779-9282
Fax: (651) 779-8247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2591 Minnesota

Profile Details

NPI number 1144226200
LBN Legal business name Eastlund, Gregory Eugene
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Mar 9th, 2021 - about 5 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 1144226200 NPPES
Minnesota MEDICAID 672328400

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