Provider Demographics
NPI:1962537662
Name:NOBLE, LEANNE MARGARET (DC)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:MARGARET
Last Name:NOBLE
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 1:205 DIVISION ST S
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057
Mailing Address - Country:US
Mailing Address - Phone:507-645-8242
Mailing Address - Fax:507-645-8242
Practice Address - Street 1:205 DIVISION ST S
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057
Practice Address - Country:US
Practice Address - Phone:507-645-8242
Practice Address - Fax:507-645-8242
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN231895OtherMEDICA
MN4C441N0OtherBLUE CROSS BLUE SHIELD
MN0171OtherPREF ONE
MN4C440N0OtherCOMP CARE SERVICES
MN0171OtherPREF ONE