Wicklund, Kurtis Carl

Wicklund, Kurtis Carl is an individual health care provider with primary practice located at 623 Madison St , Brainerd MN 56401-4518. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wicklund, Kurtis Carl can be contacted via phone (218) 829-5380.

Contact Information

Primary practice address
623 Madison St Brainerd MN 56401-4518
Phone: (218) 829-5380
Fax: (218) 825-0972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2815 Minnesota

Profile Details

NPI number 1619914744
LBN Legal business name Wicklund, Kurtis Carl
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1619914744 NPPES
Minnesota Other 5C982WI BLUE CROSS BLUE SHIELD

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