Elder, Justin Keith

Elder, Justin Keith is an individual health care provider with primary practice located at 4926 42Nd Ave N , Robbinsdale MN 55422-1731. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Elder, Justin Keith can be contacted via phone (763) 537-3927.

Contact Information

Primary practice address
4926 42Nd Ave N Robbinsdale MN 55422-1731
Phone: (763) 537-3927
Fax: (763) 537-1421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4338 Minnesota

Profile Details

NPI number 1922180124
LBN Legal business name Elder, Justin Keith
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 17th, 2007 - about 18 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 1922180124 NPPES
Minnesota Other P00054752 RR MEDICARE

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