Samuelson, John Wayne
Samuelson, John Wayne is an sole proprietor health care provider with primary practice located at 13 W 2Nd Ave N , Aurora MN 55705-1313. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Samuelson, John Wayne can be contacted via phone (218) 229-3638.Contact Information
Primary practice address
13 W 2Nd Ave N
Aurora MN 55705-1313
Phone: (218) 229-3638
Fax: (218) 229-2661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 1626 | Minnesota |
Profile Details
| NPI number | 1275617128 |
|---|---|
| LBN Legal business name | Samuelson, John Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275617128 | NPPES |
| Minnesota | Other | 69716SA | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 230743 | BLUE CROSS BLUE SHIELD |
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