Lalla, Gerald Thomas
Lalla, Gerald Thomas is an sole proprietor health care provider with primary practice located at 520 Highway 96 W Suite 200, Shoreview MN 55126-3202. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lalla, Gerald Thomas can be contacted via phone (651) 484-8521.Contact Information
Primary practice address
520 Highway 96 W Suite 200
Shoreview MN 55126-3202
Phone: (651) 484-8521
Fax: (651) 484-7374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1142 | Minnesota |
Profile Details
| NPI number | 1770505745 |
|---|---|
| LBN Legal business name | Lalla, Gerald Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jan 6th, 2014 - about 10 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 | 1770505745 | NPPES |
| Minnesota | Other | 24793LA | BLUECROSS/BLUESHIELD |
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