Suppes, Janice A

Suppes, Janice A is an sole proprietor health care provider with primary practice located at 5757 Sanibel Dr , Minnetonka MN 55343. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Suppes, Janice A can be contacted via phone (952) 939-0297.

Contact Information

Primary practice address
5757 Sanibel Dr Minnetonka MN 55343
Fax: (952) 939-0297
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2069MN Minnesota

Profile Details

NPI number 1972677987
LBN Legal business name Suppes, Janice A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Apr 18th, 2008 - about 16 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 1972677987 NPPES
Minnesota MEDICAID 068027300

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