Wiencke, David Christian

Wiencke, David Christian is an sole proprietor health care provider with primary practice located at 550 40Th Ave Ne , Columbia Heights MN 55421-3835. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wiencke, David Christian can be contacted via phone (763) 788-9797.

Contact Information

Primary practice address
550 40Th Ave Ne Columbia Heights MN 55421-3835
Phone: (763) 788-9797
Fax: (763) 788-9541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1729 Minnesota

Profile Details

NPI number 1013091230
LBN Legal business name Wiencke, David Christian
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1013091230 NPPES
Minnesota Other 59153WI BLUE CROSS BLUE SHEILD

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