Individual provider · Type 1 NPI
Jay Allen Ebel, DC
Chiropractor · Prior Lake, MN
NPI number
1194722207
Active
Practice location
2330 Sioux Trail N.w.
Prior Lake, MN 55372
Fax (952) 233-4224
Mailing address
915 - 7th Street, #15
Jordan, MN 55352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 538 (ND) |
| Chiropractor Primary | 111N00000X | 3038 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1194722207
Jay Allen Ebel, DC's National Provider Identifier is 1194722207, issued on Jul 5, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Prior Lake, MN. The record was last updated on Jul 8, 2007.