Gerhardson, Lacie Marie

Gerhardson, Lacie Marie is an individual health care provider with primary practice located at 3333 W Division St Ste 122A, Saint Cloud MN 56301-4549. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gerhardson, Lacie Marie can be contacted via phone (320) 281-5243.

Contact Information

Primary practice address
3333 W Division St Ste 122A Saint Cloud MN 56301-4549
Phone: (320) 281-5243
Fax: (320) 281-0093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4483 Minnesota

Profile Details

NPI number 1407832512
LBN Legal business name Gerhardson, Lacie Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 11th, 2019 - about 7 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 1407832512 NPPES
Minnesota Other 001J9 HSM ELECT
Minnesota Other 663405 HSM ELECT
Minnesota Other 774S0MO HSM ELECT
Minnesota Other 350003002 HSM ELECT
Minnesota MEDICAID 706160900 HSM ELECT

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