Hallingstad, Mike Jon

Hallingstad, Mike Jon is an sole proprietor health care provider with primary practice located at 1038 Centerville Cir , Vadnais Heights MN 55127-6344. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hallingstad, Mike Jon can be contacted via phone (651) 762-7475.

Contact Information

Primary practice address
1038 Centerville Cir Vadnais Heights MN 55127-6344
Fax: (651) 762-7544
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4396 Minnesota

Profile Details

NPI number 1043356371
LBN Legal business name Hallingstad, Mike Jon
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 18 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 1043356371 NPPES
Minnesota Other 059K3VA BLUE CROSS BLUE SHEILD

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