National Provider Identifier Database

HULTMAN LAKE ENTERPRISES
Rural Health


Contact Information

HULTMAN LAKE ENTERPRISES
805 MAIN ST S
PINE CITY, MN55063-1660
Phone: 320-629-5288
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for HULTMAN LAKE ENTERPRISES

NPI Number 1093397796
Legal business name
LBN
HULTMAN LAKE ENTERPRISES
Authorized official JOEL BLOMBERG - (DOCTOR OF CHIROPRACTIC)
Entity Organization
Organization subpart No
Enumeration date 04/22/2021
Last updated 04/22/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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