Ebel, Jay Allen
Ebel, Jay Allen is an individual health care provider with primary practice located at 2330 Sioux Trail N.W. , Prior Lake MN 55372. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ebel, Jay Allen can be contacted via phone (952) 233-4271.Contact Information
Primary practice address
2330 Sioux Trail N.W.
Prior Lake MN 55372
Phone: (952) 233-4271
Fax: (952) 233-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 538 | North Dakota |
| Chiropractic Providers / Chiropractor | 111N00000X | 3038 | Minnesota |
Profile Details
| NPI number | 1194722207 |
|---|---|
| LBN Legal business name | Ebel, Jay Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| 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 | 1194722207 | NPPES |
| Minnesota | Other | 3C096CB | BCBS |
| Minnesota | MEDICAID | 17722 | BCBS |
| Minnesota | Other | 3C095HA | BCBS |
| Minnesota | Other | 11445 | BCBS |
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