Iverson, Kenn E
Iverson, Kenn E is an sole proprietor health care provider with primary practice located at 312 2Nd Ave Sw Ste 101 , Jamestown ND 58401-4177. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Iverson, Kenn E can be contacted via phone (701) 252-2424.Contact Information
Primary practice address
312 2Nd Ave Sw Ste 101
Jamestown ND 58401-4177
Phone: (701) 252-2424
Fax: (701) 252-3205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 733 | North Dakota |
Profile Details
| NPI number | 1275625030 |
|---|---|
| LBN Legal business name | Iverson, Kenn E |
| Credentials | DC PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Feb 9th, 2024 - about 2 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 | 1275625030 | NPPES |
| North Dakota | Other | 25654 | BLUE CROSS OF NORTH DAKOT |
| North Dakota | MEDICAID | 12894 | BLUE CROSS OF NORTH DAKOT |
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