Individual
TRENT H. IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1912 LEXINGTON AVE, SUITE 250, ROSEVILLE, MN 55113
(651) 646-2050
(651) 646-2279
Mailing address
1912 LEXINGTON AVE N STE 250, ROSEVILLE, MN 55113-6100
(651) 646-2050
(651) 646-2279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3815
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76D39IV
BLUE CROSS BLUE SHIELD
MN
Enumeration date
05/02/2007
Last updated
05/05/2026
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