Wock, Jeffrey Allen
Wock, Jeffrey Allen is an sole proprietor health care provider with primary practice located at 4190 Vinewood Ln N Ste 121 , Plymouth MN 55442-1735. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wock, Jeffrey Allen can be contacted via phone (763) 550-1205.Contact Information
Primary practice address
4190 Vinewood Ln N Ste 121
Plymouth MN 55442-1735
Phone: (763) 550-1205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4207 | Minnesota |
Profile Details
| NPI number | 1982742318 |
|---|---|
| LBN Legal business name | Wock, Jeffrey Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982742318 | NPPES |
| Minnesota | MEDICAID | 426383900 |
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