Gullickson, Jeffrey Thomas
Gullickson, Jeffrey Thomas is an individual health care provider with primary practice located at 17 Tenth Ave S , Hopkins MN 55343-7505. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gullickson, Jeffrey Thomas can be contacted via phone (952) 927-6639.Contact Information
Primary practice address
17 Tenth Ave S
Hopkins MN 55343-7505
Phone: (952) 927-6639
Fax: (952) 927-0178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2937 | Minnesota |
Profile Details
| NPI number | 1205894672 |
|---|---|
| LBN Legal business name | Gullickson, Jeffrey Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 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 | 1205894672 | NPPES |
| Minnesota | Other | 42G86GU | BC |
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