Requet, Edward Leslie
Requet, Edward Leslie is an individual health care provider with primary practice located at 600 Market Street Suite 260 Requet Chiropractic Wellness Center, Chanhassen MN 55317. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Requet, Edward Leslie can be contacted via phone (952) 975-2959.Contact Information
Primary practice address
600 Market Street Suite 260 Requet Chiropractic Wellness Center
Chanhassen MN 55317
Phone: (952) 975-2959
Fax: (952) 975-2973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | MN3177 | Minnesota |
Profile Details
| NPI number | 1790735488 |
|---|---|
| LBN Legal business name | Requet, Edward Leslie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Feb 9th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790735488 | NPPES |
| Minnesota | Other | 4C666RE | BLUE CROSS |
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