Haggerty, Jay E

Haggerty, Jay E is an individual health care provider with primary practice located at 2355 Highway 36 W Ste 100 , Roseville MN 55113-3905. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Haggerty, Jay E can be contacted via phone (651) 292-2000.

Contact Information

Primary practice address
2355 Highway 36 W Ste 100 Roseville MN 55113-3905
Phone: (651) 292-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X PG154676 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 61545 Minnesota
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 036159330 Illinois

Profile Details

NPI number 1861784589
LBN Legal business name Haggerty, Jay E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2011
Last updated Jul 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861784589 NPPES
Minnesota Other 61545 MD LICENSE

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