Mielke, Raymond W

Mielke, Raymond W is an sole proprietor health care provider with primary practice located at 131 Broadway Ave So , New Richland MN 56072. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Mielke, Raymond W can be contacted via phone (507) 463-3811.

Contact Information

Primary practice address
131 Broadway Ave So New Richland MN 56072
Phone: (507) 463-3811
Fax: (507) 463-3812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 1496 Minnesota

Profile Details

NPI number 1124020896
LBN Legal business name Mielke, Raymond W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Jul 9th, 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 1124020896 NPPES
Minnesota Other 3K036GR BCBS PRACTICE
Minnesota Other 3K037MI BCBS PRACTICE
Minnesota MEDICAID 709825100 BCBS PRACTICE

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