Wisdo, Jeffrey John
Wisdo, Jeffrey John is an sole proprietor health care provider with primary practice located at 7060 Valley Creek Plz #121, Woodbury MN 55125-2269. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wisdo, Jeffrey John can be contacted via phone (651) 735-8646.Contact Information
Primary practice address
7060 Valley Creek Plz #121
Woodbury MN 55125-2269
Phone: (651) 735-8646
Fax: (651) 730-9210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4705 | Minnesota |
Profile Details
| NPI number | 1124060017 |
|---|---|
| LBN Legal business name | Wisdo, Jeffrey John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124060017 | NPPES |
| Minnesota | Other | 724T6WI | BLUE CROSS |
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