Emberland, Cory L

Emberland, Cory L is an individual health care provider with primary practice located at 5143 W 98Th St , Bloomington MN 55437-2040. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Emberland, Cory L can be contacted via phone (952) 881-2800.

Contact Information

Primary practice address
5143 W 98Th St Bloomington MN 55437-2040
Fax: (612) 605-2788
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC3760 Minnesota

Profile Details

NPI number 1588650709
LBN Legal business name Emberland, Cory L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated May 31st, 2021 - about 3 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 1588650709 NPPES
Minnesota MEDICAID 116633600
Minnesota Other 76D61BL

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