Johnsrud, Jackie Lynn

Johnsrud, Jackie Lynn is an sole proprietor health care provider with primary practice located at 306 Main St , Williston ND 58801-5304. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Johnsrud, Jackie Lynn can be contacted via phone (701) 580-4912.

Contact Information

Primary practice address
306 Main St Williston ND 58801-5304
Phone: (701) 580-4912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 865 North Dakota

Profile Details

NPI number 1164797072
LBN Legal business name Johnsrud, Jackie Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2012
Last updated Mar 12th, 2012 - about 13 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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