Bennett, Ellie Marie

Bennett, Ellie Marie is an sole proprietor health care provider with primary practice located at 4080 W Broadway Ave Ste. 218, Robbinsdale MN 55422-5604. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bennett, Ellie Marie can be contacted via phone (763) 535-4342.

Contact Information

Primary practice address
4080 W Broadway Ave Ste. 218 Robbinsdale MN 55422-5604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4852 Minnesota

Profile Details

NPI number 1144314139
LBN Legal business name Bennett, Ellie Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Nov 27th, 2007 - about 17 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 1144314139 NPPES
Other 154H1BE BLUE CROSS BLUE SHIELD

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