Lavell, Jeffrey Michael

Lavell, Jeffrey Michael is an individual health care provider with primary practice located at 2785 White Bear Ave N Suite 108, Maplewood MN 55109-1307. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lavell, Jeffrey Michael can be contacted via phone (651) 415-0418.

Contact Information

Primary practice address
2785 White Bear Ave N Suite 108 Maplewood MN 55109-1307
Fax: (651) 415-0106
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3635 Minnesota

Profile Details

NPI number 1285700229
LBN Legal business name Lavell, Jeffrey Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 5th, 2010 - about 14 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 1285700229 NPPES
Minnesota Other 00D05SP BCBS

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