Clarke, Susan Legender
Clarke, Susan Legender is an sole proprietor health care provider with primary practice located at 846 Laurel Ave , Saint Paul MN 55104-7110. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Clarke, Susan Legender can be contacted via phone (651) 227-8776.Contact Information
Primary practice address
846 Laurel Ave
Saint Paul MN 55104-7110
Phone: (651) 227-8776
Fax: (651) 227-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 2143 | Minnesota |
Profile Details
| NPI number | 1013905371 |
|---|---|
| LBN Legal business name | Clarke, Susan Legender |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jun 16th, 2010 - about 15 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 | 1013905371 | NPPES |
| Minnesota | Other | 350056171 | RRCARE |
| Minnesota | Other | 041101001 | RRCARE |
| Minnesota | Other | 21316CL | RRCARE |
| Minnesota | Other | 0N438CL | RRCARE |
| Minnesota | MEDICAID | 777027800 | RRCARE |
| Minnesota | Other | 20705 | RRCARE |
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