Johnsrud, Laurie Ann
Johnsrud, Laurie Ann is an individual health care provider with primary practice located at 1515 W Lincoln Ave , Fergus Falls MN 56537-1065. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Johnsrud, Laurie Ann can be contacted via phone (218) 739-3216.Contact Information
Primary practice address
1515 W Lincoln Ave
Fergus Falls MN 56537-1065
Phone: (218) 739-3216
Fax: (218) 739-2115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4260 | Minnesota |
Profile Details
| NPI number | 1669415113 |
|---|---|
| LBN Legal business name | Johnsrud, Laurie Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Feb 11th, 2025 - about last year |
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 | 1669415113 | NPPES |
| Minnesota | Other | 040708001 | PRIMEWEST |
| Minnesota | Other | 060G1KO | PRIMEWEST |
| Minnesota | Other | 103100 | PRIMEWEST |
| Minnesota | MEDICAID | 108004100 | PRIMEWEST |
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