Phillips, Merle Clark

Phillips, Merle Clark is an individual health care provider with primary practice located at 821 E Bridge St , Redwood Falls MN 56283-1801. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Phillips, Merle Clark can be contacted via phone (507) 637-8585.

Contact Information

Primary practice address
821 E Bridge St Redwood Falls MN 56283-1801
Phone: (507) 637-8585
Fax: (507) 637-8649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1993 Minnesota

Profile Details

NPI number 1215926340
LBN Legal business name Phillips, Merle Clark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 26th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215926340 NPPES
Minnesota MEDICAID 575327900
Minnesota Other 47215PH

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