Engelstad, Mackenzie
Engelstad, Mackenzie is an individual health care provider with primary practice located at 2330 Crosstown Blvd Ne , Ham Lake MN 55304-4471. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Engelstad, Mackenzie can be contacted via phone (507) 382-9026.Contact Information
Primary practice address
2330 Crosstown Blvd Ne
Ham Lake MN 55304-4471
Phone: (507) 382-9026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6946 | Minnesota |
Profile Details
| NPI number | 1720749781 |
|---|---|
| LBN Legal business name | Engelstad, Mackenzie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2022 |
| Last updated | Jun 28th, 2022 - about 4 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 | 1720749781 | NPPES |
| Other | 6946 | STATE ISSUED |
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