Harralson, William C

Harralson, William C is an individual health care provider with primary practice located at 3015 Utah Ave S Suite 200, Saint Louis Park MN 55426-3671. He recently has only one registered license in Chiropractic Providers / Occupational Health, which is considered as his primary health care specialty. Harralson, William C can be contacted via phone (952) 933-1121.

Contact Information

Primary practice address
3015 Utah Ave S Suite 200 Saint Louis Park MN 55426-3671
Phone: (952) 933-1121
Fax: (952) 945-9635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X 3746 Minnesota

Profile Details

NPI number 1245272186
LBN Legal business name Harralson, William C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 9th, 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 1245272186 NPPES
Minnesota Other 3746 LICENSE

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