Kent, Susan Marie
Kent, Susan Marie is an individual health care provider with primary practice located at 1418 Grand Ave , Saint Paul MN 55105-2205. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kent, Susan Marie can be contacted via phone (651) 696-9110.Contact Information
Primary practice address
1418 Grand Ave
Saint Paul MN 55105-2205
Phone: (651) 696-9110
Fax: (651) 696-9119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2722 | Minnesota |
Profile Details
| NPI number | 1467445486 |
|---|---|
| LBN Legal business name | Kent, Susan Marie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467445486 | NPPES |
| Minnesota | MEDICAID | 273528800 |
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