Individual
DR. BRIAN S ELIJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8900 PENN AVE S, SUITE #116, BLOOMINGTON, MN 55431-2068
(952) 884-3700
(612) 656-0550
Mailing address
8900 PENN AVE S, SUITE #116, BLOOMINGTON, MN 55431-2068
(952) 884-3700
(612) 656-0555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3278
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B97EL
BCBS PROVIDER ID
MN
01
—
1B00B6CH
BCBS CLINIC ID
MN
01
—
4485431
MEDICA PROVIDER ID
MN
Enumeration date
06/29/2005
Last updated
07/08/2007
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