Fuller, Reggie Stanley

Fuller, Reggie Stanley is an individual health care provider with primary practice located at 4027 37Th St Nw , Maple Lake MN 55358-3422. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fuller, Reggie Stanley can be contacted via phone (612) 423-3158.

Contact Information

Primary practice address
4027 37Th St Nw Maple Lake MN 55358-3422
Phone: (612) 423-3158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5014 Minnesota

Profile Details

NPI number 1588858229
LBN Legal business name Fuller, Reggie Stanley
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Jun 11th, 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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