Ecklund, Roderick Dale
Ecklund, Roderick Dale is an individual health care provider with primary practice located at 5810 Nicollet Avenue , Minneapolis MN 55419. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ecklund, Roderick Dale can be contacted via phone (612) 861-2121.Contact Information
Primary practice address
5810 Nicollet Avenue
Minneapolis MN 55419
Phone: (612) 861-2121
Fax: (612) 861-2113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 002651 | Minnesota |
Profile Details
| NPI number | 1831253053 |
|---|---|
| LBN Legal business name | Ecklund, Roderick Dale |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Nov 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831253053 | NPPES |
| Minnesota | MEDICAID | 863328200 |
Popular Providers
-
Johnson, Mark Alan
825 Nicollet Mall Ste 1845, Minneapolis MN 55402-2706 -
Humenny, Darryl Michael
2703 E Lake St , Minneapolis MN 55406 -
Printon, Richard
825 S 8Th St Ste 1106, Minneapolis MN 55404-1208 -
Berkey, Benjamin Lee
2900 Thomas Ave S Suite 330, Minneapolis MN 55416-4477 -
Privratsky, Robert Neil
1216 W Lake St , Minneapolis MN 55408-2761 -
Ecklund, Leslie Ann
5810 Nicollet Avenue , Minneapolis MN 55419 -
Bierbrauer, Paul Christian
221 10Th Ave S , Minneapolis MN 55415-1216 -
Steffenson, Kay
12 S 6Th St , Minneapolis MN 55402-1508