Hallgren, Stacy Lane

Hallgren, Stacy Lane is an individual health care provider with primary practice located at 4350 S Washington St Suite 100, Grand Forks ND 58201-7184. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Hallgren, Stacy Lane can be contacted via phone (701) 732-2888.

Contact Information

Primary practice address
4350 S Washington St Suite 100 Grand Forks ND 58201-7184
Phone: (701) 732-2888
Fax: (701) 732-2711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 798 North Dakota

Profile Details

NPI number 1407036627
LBN Legal business name Hallgren, Stacy Lane
Credentials D.C., C.C.E.P., CST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Aug 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407036627 NPPES
Minnesota MEDICAID 1407036627
Minnesota MEDICAID 14609
Minnesota Other 713023

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