Gunnerson, Lane N

Gunnerson, Lane N is an sole proprietor health care provider with primary practice located at 1325 Nw 4Th St # 200 , Grand Rapids MN 55744-2209. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gunnerson, Lane N can be contacted via phone (218) 326-4022.

Contact Information

Primary practice address
1325 Nw 4Th St # 200 Grand Rapids MN 55744-2209
Phone: (218) 326-4022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3335 Minnesota

Profile Details

NPI number 1689694044
LBN Legal business name Gunnerson, Lane N
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Aug 1st, 2013 - about 11 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 1689694044 NPPES
Minnesota Other 4C807GU BCBS
Minnesota Other 350052380 BCBS
Minnesota MEDICAID 281827200 BCBS

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