Elijah, Brian S

Elijah, Brian S is an individual health care provider with primary practice located at 8900 Penn Ave S Suite #116, Bloomington MN 55431-2068. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Elijah, Brian S can be contacted via phone (952) 884-3700.

Contact Information

Primary practice address
8900 Penn Ave S Suite #116 Bloomington MN 55431-2068
Phone: (952) 884-3700
Fax: (612) 656-0550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3278 Minnesota

Profile Details

NPI number 1184621708
LBN Legal business name Elijah, Brian S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 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 1184621708 NPPES
Minnesota Other 1B00B6CH BCBS CLINIC ID
Minnesota Other 4485431 BCBS CLINIC ID
Minnesota Other 00B97EL BCBS CLINIC ID

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