Evanson, Daniel Holm

Evanson, Daniel Holm is an sole proprietor health care provider with primary practice located at 14750 Cedar Ave Suite 104, Apple Valley MN 55124-4506. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Evanson, Daniel Holm can be contacted via phone (952) 431-3133.

Contact Information

Primary practice address
14750 Cedar Ave Suite 104 Apple Valley MN 55124-4506
Phone: (952) 431-3133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X C4302 Minnesota

Profile Details

NPI number 1124049580
LBN Legal business name Evanson, Daniel Holm
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Apr 10th, 2019 - about 5 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 1124049580 NPPES
Minnesota Other 349C7HA BLUE CROSS CLINIC ID
Minnesota Other 349C8EV BLUE CROSS CLINIC ID

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