Von Iderstine, Martin Robert

Von Iderstine, Martin Robert is an individual health care provider with primary practice located at 4600 Lake Rd , Robbinsdale MN 55422-1800. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Von Iderstine, Martin Robert can be contacted via phone (763) 533-6775.

Contact Information

Primary practice address
4600 Lake Rd Robbinsdale MN 55422-1800
Phone: (763) 533-6775
Fax: (763) 535-2850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X Minnesota

Profile Details

NPI number 1457357626
LBN Legal business name Von Iderstine, Martin Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
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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