Humfeld-Wilson, Lisa J.

Humfeld-Wilson, Lisa J. is an individual health care provider with primary practice located at 119 Central Ave N , Faribault MN 55021-5210. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Humfeld-Wilson, Lisa J. can be contacted via phone (507) 333-5388.

Contact Information

Primary practice address
119 Central Ave N Faribault MN 55021-5210
Phone: (507) 333-5388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4157 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 3817-012 Wisconsin

Profile Details

NPI number 1497742449
LBN Legal business name Humfeld-Wilson, Lisa J.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Dec 22nd, 2011 - about 15 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 1497742449 NPPES
Minnesota Other 080M0HU BLUE CROSS BLUE SHIELD
Minnesota Other 872833000 BLUE CROSS BLUE SHIELD

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