Provider Demographics
NPI:1174645055
Name:SOULAR, LINNEA KAY (DC)
Entity Type:Individual
Prefix:
First Name:LINNEA
Middle Name:KAY
Last Name:SOULAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4886 HIGHWAY 61 N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-2857
Mailing Address - Country:US
Mailing Address - Phone:651-762-4757
Mailing Address - Fax:651-762-2731
Practice Address - Street 1:4886 HIGHWAY 61 N
Practice Address - Street 2:SUITE 201
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-2857
Practice Address - Country:US
Practice Address - Phone:651-762-4757
Practice Address - Fax:651-762-2731
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor