Ameli, Mahmood

Ameli, Mahmood is an individual health care provider with primary practice located at 16372 Kenrick Avenue Suite 100 Lakeville Integrative Medicine Clinic, Lakeville MN 55044. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is his primary health care specialty. Ameli, Mahmood can be contacted via phone (952) 892-6700.

Contact Information

Primary practice address
16372 Kenrick Avenue Suite 100 Lakeville Integrative Medicine Clinic Lakeville MN 55044
Fax: (952) 892-9475
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1237 Minnesota
Chiropractic Providers / Neurology 111NN0400X 153 Minnesota

Profile Details

NPI number 1346280781
LBN Legal business name Ameli, Mahmood
Credentials DC DACAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated May 15th, 2008 - about 16 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 1346280781 NPPES
Minnesota Other 4401618 MEDICA PROVIDER NUMBER
Minnesota MEDICAID 127725100 MEDICA PROVIDER NUMBER

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