Couillard, Craig Alan

Couillard, Craig Alan is an individual health care provider with primary practice located at 9202 202Nd St W Suite 203, Lakeville MN 55044-7915. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Couillard, Craig Alan can be contacted via phone (952) 469-8385.

Contact Information

Primary practice address
9202 202Nd St W Suite 203 Lakeville MN 55044-7915
Phone: (952) 469-8385
Fax: (952) 469-1713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3955 Minnesota

Profile Details

NPI number 1497741185
LBN Legal business name Couillard, Craig Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 6th, 2011 - about 13 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 1497741185 NPPES
Minnesota MEDICAID 727678800
Minnesota Other 350002308
Minnesota Other 411991603

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