Mortenson, Sanya Sheree

Mortenson, Sanya Sheree is an individual health care provider with primary practice located at 403 America Ave Nw , Bemidji MN 56601-3122. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Mortenson, Sanya Sheree can be contacted via phone (218) 444-8727.

Contact Information

Primary practice address
403 America Ave Nw Bemidji MN 56601-3122
Phone: (218) 444-8727
Fax: (218) 444-8546
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3546 Minnesota

Profile Details

NPI number 1104823855
LBN Legal business name Mortenson, Sanya Sheree
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jun 18th, 2015 - about 9 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 1104823855 NPPES
Minnesota Other 770299 AMERICA'S PPO
Minnesota MEDICAID 292526500 AMERICA'S PPO
Minnesota Other 397L2MO AMERICA'S PPO

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