Phelps, Lavern A

Phelps, Lavern A is an individual health care provider with primary practice located at 22 E Chapman St , Ely MN 55731-1228. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Phelps, Lavern A can be contacted via phone (218) 365-4044.

Contact Information

Primary practice address
22 E Chapman St Ely MN 55731-1228
Fax: (218) 365-3249
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 2697 Minnesota

Profile Details

NPI number 1659424919
LBN Legal business name Phelps, Lavern A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 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 1659424919 NPPES
Minnesota Other 231027 CHIROCARE
Minnesota Other 62523PL CHIROCARE

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