Glaser, Lance Matthew

Glaser, Lance Matthew is an individual health care provider with primary practice located at 8619 West Pt Douglas Rd Suite 110, Cottage Grove MN 55016-3389. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glaser, Lance Matthew can be contacted via phone (651) 458-0094.

Contact Information

Primary practice address
8619 West Pt Douglas Rd Suite 110 Cottage Grove MN 55016-3389
Fax: (651) 251-2273
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3497 Minnesota

Profile Details

NPI number 1699801076
LBN Legal business name Glaser, Lance Matthew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
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 1699801076 NPPES
Minnesota Other 606280 CHIRO CARE
Minnesota Other 530PZGL CHIRO CARE

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