Gottenborg, Robb J

Gottenborg, Robb J is an individual health care provider with primary practice located at 817 Lincoln Ave , Harvey ND 58341-1521. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gottenborg, Robb J can be contacted via phone (701) 324-2262.

Contact Information

Primary practice address
817 Lincoln Ave Harvey ND 58341-1521
Phone: (701) 324-2262
Fax: (701) 324-2299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 610 North Dakota

Profile Details

NPI number 1568680429
LBN Legal business name Gottenborg, Robb J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Apr 5th, 2012 - about 14 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 1568680429 NPPES
North Dakota MEDICAID 14699

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