Land., Ian R.

Land., Ian R. is an sole proprietor health care provider with primary practice located at 14247 O'Connell Court #275 , Savage MN 55378. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Land., Ian R. can be contacted via phone (952) 226-5502.

Contact Information

Primary practice address
14247 O'Connell Court #275 Savage MN 55378
Fax: (952) 226-5504
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3613 Minnesota
Chiropractic Providers / Chiropractor 111N00000X MN3613 Minnesota

Profile Details

NPI number 1831313980
LBN Legal business name Land., Ian R.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Apr 1st, 2013 - about 11 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 1831313980 NPPES
Minnesota MEDICAID 4410386-00

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