Individual
DR. JAY ALLEN EBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2330 SIOUX TRAIL N.W., PRIOR LAKE, MN 55372
(952) 233-4271
(952) 233-4224
Mailing address
915 - 7TH STREET, #15, JORDAN, MN 55352
(952) 378-1030
(952) 378-1030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3038
MN
111N00000X
Chiropractor
538
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11445
BCBS
ND
05
—
17722
—
ND
01
—
3C095HA
BCBS
MN
01
—
3C096CB
BCBS
MN
Enumeration date
07/05/2005
Last updated
07/08/2007
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