Ebel, Jay Allen

Ebel, Jay Allen is an individual health care provider with primary practice located at 2330 Sioux Trail N.W. , Prior Lake MN 55372. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ebel, Jay Allen can be contacted via phone (952) 233-4271.

Contact Information

Primary practice address
2330 Sioux Trail N.W. Prior Lake MN 55372
Fax: (952) 233-4224
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 538 North Dakota
Chiropractic Providers / Chiropractor 111N00000X 3038 Minnesota

Profile Details

NPI number 1194722207
LBN Legal business name Ebel, Jay Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 8th, 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 1194722207 NPPES
Minnesota Other 3C096CB BCBS
Minnesota MEDICAID 17722 BCBS
Minnesota Other 3C095HA BCBS
Minnesota Other 11445 BCBS

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