Nyblom, Jeffrey Duane
Nyblom, Jeffrey Duane is an individual health care provider with primary practice located at 911 Main St S , Cambridge MN 55008-2125. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nyblom, Jeffrey Duane can be contacted via phone (763) 689-1110.Contact Information
Primary practice address
911 Main St S
Cambridge MN 55008-2125
Phone: (763) 689-1110
Fax: (763) 552-1110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 003394 | Minnesota |
Profile Details
| NPI number | 1669526489 |
|---|---|
| LBN Legal business name | Nyblom, Jeffrey Duane |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669526489 | NPPES |
| Minnesota | Other | 6C486NY | BCBS PROVIDER NUMBER |
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