Gottenborg, David Wayne

Gottenborg, David Wayne is an sole proprietor health care provider with primary practice located at 12 5Th Ave. Ne , Pelican Rapids MN 56572. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gottenborg, David Wayne can be contacted via phone (218) 863-2134.

Contact Information

Primary practice address
12 5Th Ave. Ne Pelican Rapids MN 56572
Phone: (218) 863-2134
Fax: (218) 863-2135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1952 Minnesota

Profile Details

NPI number 1053426171
LBN Legal business name Gottenborg, David Wayne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Nov 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053426171 NPPES
Minnesota Other 61177GO BLUE CROSS BLUE SHIELD MN

Popular Providers