Wisdo, Jeffrey John

Wisdo, Jeffrey John is an sole proprietor health care provider with primary practice located at 7060 Valley Creek Plz #121, Woodbury MN 55125-2269. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wisdo, Jeffrey John can be contacted via phone (651) 735-8646.

Contact Information

Primary practice address
7060 Valley Creek Plz #121 Woodbury MN 55125-2269
Phone: (651) 735-8646
Fax: (651) 730-9210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4705 Minnesota

Profile Details

NPI number 1124060017
LBN Legal business name Wisdo, Jeffrey John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
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 1124060017 NPPES
Minnesota Other 724T6WI BLUE CROSS

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