Ingwersen, Lance Shane

Ingwersen, Lance Shane is an individual health care provider with primary practice located at 104 S Daisy St Suite A, Salmon ID 83467-4333. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ingwersen, Lance Shane can be contacted via phone (208) 756-5000.

Contact Information

Primary practice address
104 S Daisy St Suite A Salmon ID 83467-4333
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1181 Idaho

Profile Details

NPI number 1295766822
LBN Legal business name Ingwersen, Lance Shane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 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.

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