Sotonn, Virak

Sotonn, Virak is an sole proprietor health care provider with primary practice located at 9217 17Th Ave S Suite 120, Bloomington MN 55425-2373. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sotonn, Virak can be contacted via phone (952) 881-0767.

Contact Information

Primary practice address
9217 17Th Ave S Suite 120 Bloomington MN 55425-2373
Phone: (952) 881-0767
Fax: (952) 881-0806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4264 Minnesota

Profile Details

NPI number 1972643765
LBN Legal business name Sotonn, Virak
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1972643765 NPPES
Minnesota Other 83G93AP BCBS CONTRACTING PROVIDER
Minnesota Other 83G52SO BCBS CONTRACTING PROVIDER

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