Powell, Michael R

Powell, Michael R is an individual health care provider with primary practice located at 510 22Nd Avenue E Suite 701, Alexandria MN 56308. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Powell, Michael R can be contacted via phone (320) 763-9711.

Contact Information

Primary practice address
510 22Nd Avenue E Suite 701 Alexandria MN 56308
Fax: (320) 762-1278
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3449 Minnesota

Profile Details

NPI number 1770577835
LBN Legal business name Powell, Michael R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jan 5th, 2010 - about 16 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 1770577835 NPPES
Minnesota MEDICAID 312135600
Minnesota Other 350002628

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