Gunderson, Jacob B
Gunderson, Jacob B is an individual health care provider with primary practice located at 19260 Evans St Nw , Elk River MN 55330-1076. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Chiropractic Providers / Chiropractor is his primary health care specialty. Gunderson, Jacob B can be contacted via phone (763) 441-7788.Contact Information
Primary practice address
19260 Evans St Nw
Elk River MN 55330-1076
Phone: (763) 441-7788
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 7215 | Minnesota |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
NPI number | 1780157669 |
---|---|
LBN Legal business name | Gunderson, Jacob B |
Credentials | DC, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2019 |
Last updated | Feb 29th, 2024 - about 10 months 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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