Venables, Brent David

Venables, Brent David is an individual health care provider with primary practice located at 161 19Th St S Ste 101 , Sartell MN 56377-2555. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Venables, Brent David can be contacted via phone (320) 257-0360.

Contact Information

Primary practice address
161 19Th St S Ste 101 Sartell MN 56377-2555
Phone: (320) 257-0360
Fax: (320) 253-9968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 434 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 3592 Minnesota

Profile Details

NPI number 1548266711
LBN Legal business name Venables, Brent David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 8th, 2019 - about 6 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 1548266711 NPPES
Minnesota Other 284T4VE BCBS
Minnesota Other 350055945 BCBS
Minnesota MEDICAID 822520600 BCBS

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