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
Phone: (763) 535-4342
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144314139 | NPPES |
Other | 154H1BE | BLUE CROSS BLUE SHIELD |
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