Granroth, Ryan James

Granroth, Ryan James is an individual health care provider with primary practice located at 100 2Nd St S , Sartell MN 56377-1977. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Granroth, Ryan James can be contacted via phone (320) 251-2600.

Contact Information

Primary practice address
100 2Nd St S Sartell MN 56377-1977
Phone: (320) 251-2600
Fax: (320) 251-4763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4520 Minnesota

Profile Details

NPI number 1235136995
LBN Legal business name Granroth, Ryan James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 27th, 2013 - about 12 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 1235136995 NPPES
Minnesota Other 449T8GR BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 936445500 BLUE CROSS BLUE SHIELD

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