Fideldy, Steven Nicholas
Fideldy, Steven Nicholas is an sole proprietor health care provider with primary practice located at 118 Ne 11Th Ave Suite A, Grand Rapids MN 55744-3286. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fideldy, Steven Nicholas can be contacted via phone (218) 326-3603.Contact Information
Primary practice address
118 Ne 11Th Ave Suite A
Grand Rapids MN 55744-3286
Phone: (218) 326-3603
Fax: (218) 326-3606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4175 | Minnesota |
Profile Details
| NPI number | 1972524981 |
|---|---|
| LBN Legal business name | Fideldy, Steven Nicholas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| 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 | 1972524981 | NPPES |
| Minnesota | Other | 62M82AL | BCBS PROVIDER NUMBER |
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