Frid, Leon Boris

Frid, Leon Boris is an individual health care provider with primary practice located at 3015 Utah Ave S Suite 200, Saint Louis Park MN 55426-3671. He recently has only one registered license in Chiropractic Providers / Occupational Health, which is considered as his primary health care specialty. Frid, Leon Boris can be contacted via phone (952) 933-1121.

Contact Information

Primary practice address
3015 Utah Ave S Suite 200 Saint Louis Park MN 55426-3671
Phone: (952) 933-1121
Fax: (952) 945-9536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X 2008 Minnesota

Profile Details

NPI number 1639117559
LBN Legal business name Frid, Leon Boris
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 19th, 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 1639117559 NPPES
Minnesota MEDICAID 506527500

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