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Contact Information

DYNAMIC HEALTH CLINIC, LLC
6121 EXCELSIOR BLVD
SUITE 205
SAINT LOUIS PARK, MN55416-2725
 Phone: 612-710-7415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for DYNAMIC HEALTH CLINIC LLC · (Female)

NPI # 1639446974
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2011
Last updated 11/30/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 1517
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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