Individual
JAMES PAUL KOFOED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
223 E BROADWAY, LITTLE FALLS, MN 56345-3137
(320) 632-6283
Mailing address
223 E BROADWAY, LITTLE FALLS, MN 56345-3137
(320) 632-6283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1751
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230427
CCMI
MN
05
—
4431886
—
MN
01
—
83114KO
BCBS PROVIDER
MN
01
—
89675KO
BCBS
MN
Enumeration date
12/06/2006
Last updated
07/09/2007
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