Ewald, Jeffrey Allen

Ewald, Jeffrey Allen is an individual health care provider with primary practice located at 2501 W 84Th St , Bloomington MN 55431-1602. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Ewald, Jeffrey Allen can be contacted via phone (952) 888-4777.

Contact Information

Primary practice address
2501 W 84Th St Bloomington MN 55431-1602
Phone: (952) 888-4777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 1742 Minnesota

Profile Details

NPI number 1285898767
LBN Legal business name Ewald, Jeffrey Allen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Jul 15th, 2008 - about 16 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 1285898767 NPPES
Minnesota MEDICAID 812727100

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