Kolodji, Sean Mitchell

Kolodji, Sean Mitchell is an sole proprietor health care provider with primary practice located at 1632 Bemidji Ave N Ste 1, Bemidji MN 56601-3870. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kolodji, Sean Mitchell can be contacted via phone (218) 444-9918.

Contact Information

Primary practice address
1632 Bemidji Ave N Ste 1 Bemidji MN 56601-3870
Fax: (218) 444-9784
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4422 Minnesota

Profile Details

NPI number 1861528846
LBN Legal business name Kolodji, Sean Mitchell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Feb 28th, 2017 - about 8 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 1861528846 NPPES
Minnesota MEDICAID 410660100

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