Elijah, Brian S
Elijah, Brian S is an individual health care provider with primary practice located at 8900 Penn Ave S Suite #116, Bloomington MN 55431-2068. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Elijah, Brian S can be contacted via phone (952) 884-3700.Contact Information
Primary practice address
8900 Penn Ave S Suite #116
Bloomington MN 55431-2068
Phone: (952) 884-3700
Fax: (612) 656-0550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3278 | Minnesota |
Profile Details
| NPI number | 1184621708 |
|---|---|
| LBN Legal business name | Elijah, Brian S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 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 | 1184621708 | NPPES |
| Minnesota | Other | 1B00B6CH | BCBS CLINIC ID |
| Minnesota | Other | 4485431 | BCBS CLINIC ID |
| Minnesota | Other | 00B97EL | BCBS CLINIC ID |
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