Pederson, Marshal H
Pederson, Marshal H is an individual health care provider with primary practice located at 2840 19Th Ave S , Grand Forks ND 58201-5957. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pederson, Marshal H can be contacted via phone (701) 772-2670.Contact Information
Primary practice address
2840 19Th Ave S
Grand Forks ND 58201-5957
Phone: (701) 772-2670
Fax: (701) 772-2706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1092 | North Dakota |
Profile Details
| NPI number | 1508333527 |
|---|---|
| LBN Legal business name | Pederson, Marshal H |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2018 |
| Last updated | Oct 29th, 2018 - about 8 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 | 1508333527 | NPPES |
| North Dakota | Other | 1092 | ND BOARD OF CHIROPRACTIC EXAMINERS |
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