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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831253053 | NPPES |
| Minnesota | MEDICAID | 863328200 |
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