Jerikovsky, Deborah Ellen
Jerikovsky, Deborah Ellen is an individual health care provider with primary practice located at 1525 Livingston Avenue , West St Paul MN 55118-3411. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Jerikovsky, Deborah Ellen can be contacted via phone (651) 455-5264.Contact Information
Primary practice address
1525 Livingston Avenue
West St Paul MN 55118-3411
Phone: (651) 455-5264
Fax: (651) 455-1172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4341 | Minnesota |
Profile Details
| NPI number | 1982617213 |
|---|---|
| LBN Legal business name | Jerikovsky, Deborah Ellen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Oct 17th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982617213 | NPPES |
| Minnesota | MEDICAID | 472462300 |
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