Detlefsen, Phillip John
Detlefsen, Phillip John is an individual health care provider with primary practice located at 13601 80Th Cir N Suite L70, Maple Grove MN 55369-8999. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Detlefsen, Phillip John can be contacted via phone (763) 420-4635.Contact Information
Primary practice address
13601 80Th Cir N Suite L70
Maple Grove MN 55369-8999
Phone: (763) 420-4635
Fax: (763) 390-1381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4374 | Minnesota |
Profile Details
| NPI number | 1316058605 |
|---|---|
| LBN Legal business name | Detlefsen, Phillip John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 17th, 2010 - about 14 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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