Undersander, Paul Eugene

Undersander, Paul Eugene is an individual health care provider with primary practice located at 251 County Road 120 Suite B, Saint Cloud MN 56303-4872. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Undersander, Paul Eugene can be contacted via phone (320) 252-3711.

Contact Information

Primary practice address
251 County Road 120 Suite B Saint Cloud MN 56303-4872
Phone: (320) 252-3711
Fax: (320) 240-0608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2974 Minnesota

Profile Details

NPI number 1063592640
LBN Legal business name Undersander, Paul Eugene
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 6th, 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 1063592640 NPPES
Minnesota MEDICAID 670028400

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