Pekurovsky, Elena S.
Pekurovsky, Elena S. is an sole proprietor health care provider with primary practice located at 8421 Wayzata Blvd Ste 230 , Golden Valley MN 55426-1392. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Pekurovsky, Elena S. can be contacted via phone (612) 242-1335.Contact Information
Primary practice address
8421 Wayzata Blvd Ste 230
Golden Valley MN 55426-1392
Phone: (612) 242-1335
Fax: (866) 420-3717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3627 | Minnesota |
| Other Service Providers / Acupuncturist | 171100000X | 1582 | Minnesota |
Profile Details
| NPI number | 1093804494 |
|---|---|
| LBN Legal business name | Pekurovsky, Elena S. |
| Credentials | D.C., DACM, L.AC. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 22nd, 2023 - about 3 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 | 1093804494 | NPPES |
| Minnesota | MEDICAID | 5110285 | |
| Minnesota | MEDICAID | 543716400 | |
| Minnesota | Other | 528K1PE | |
| Minnesota | Other | 44-01147 | |
| Minnesota | Other | 527K1AM |
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