Fideldy, Steven Nicholas

Fideldy, Steven Nicholas is an sole proprietor health care provider with primary practice located at 118 Ne 11Th Ave Suite A, Grand Rapids MN 55744-3286. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fideldy, Steven Nicholas can be contacted via phone (218) 326-3603.

Contact Information

Primary practice address
118 Ne 11Th Ave Suite A Grand Rapids MN 55744-3286
Phone: (218) 326-3603
Fax: (218) 326-3606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4175 Minnesota

Profile Details

NPI number 1972524981
LBN Legal business name Fideldy, Steven Nicholas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
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 1972524981 NPPES
Minnesota Other 62M82AL BCBS PROVIDER NUMBER

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