Requet, Edward Leslie

Requet, Edward Leslie is an individual health care provider with primary practice located at 600 Market Street Suite 260 Requet Chiropractic Wellness Center, Chanhassen MN 55317. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Requet, Edward Leslie can be contacted via phone (952) 975-2959.

Contact Information

Primary practice address
600 Market Street Suite 260 Requet Chiropractic Wellness Center Chanhassen MN 55317
Phone: (952) 975-2959
Fax: (952) 975-2973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X MN3177 Minnesota

Profile Details

NPI number 1790735488
LBN Legal business name Requet, Edward Leslie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 9th, 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 1790735488 NPPES
Minnesota Other 4C666RE BLUE CROSS

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