Kullberg, William George

Kullberg, William George is an sole proprietor health care provider with primary practice located at 606 Eighth Ave , Howard Lake MN 55349. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kullberg, William George can be contacted via phone (320) 543-2345.

Contact Information

Primary practice address
606 Eighth Ave Howard Lake MN 55349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 001587 Minnesota

Profile Details

NPI number 1972679777
LBN Legal business name Kullberg, William George
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972679777 NPPES
Minnesota Other 001587 MINNESOTA CHIRO LIC #
Minnesota Other 68093KU MINNESOTA CHIRO LIC #
Minnesota Other 08417KU MINNESOTA CHIRO LIC #

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