Minder, Susan Marie

Minder, Susan Marie is an individual health care provider with primary practice located at 2025 W Iles Ave Suite B, Springfield IL 62704-4190. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is her primary health care specialty. Minder, Susan Marie can be contacted via phone (217) 241-5300.

Contact Information

Primary practice address
2025 W Iles Ave Suite B Springfield IL 62704-4190
Phone: (217) 241-5300
Fax: (217) 241-5322
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Chiropractic Providers / Rehabilitation 111NR0400X Illinois

Profile Details

NPI number 1124236989
LBN Legal business name Minder, Susan Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
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 1124236989 NPPES
Other 84-20187 BLUE CROSS & BLUE SHIELD
Other 339643 BLUE CROSS & BLUE SHIELD

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