Land., Ian R.
Land., Ian R. is an sole proprietor health care provider with primary practice located at 14247 O'Connell Court #275 , Savage MN 55378. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Land., Ian R. can be contacted via phone (952) 226-5502.Contact Information
Primary practice address
14247 O'Connell Court #275
Savage MN 55378
Phone: (952) 226-5502
Fax: (952) 226-5504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3613 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | MN3613 | Minnesota |
Profile Details
| NPI number | 1831313980 |
|---|---|
| LBN Legal business name | Land., Ian R. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Apr 1st, 2013 - about 13 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 | 1831313980 | NPPES |
| Minnesota | MEDICAID | 4410386-00 |
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