Haugo, Bradley Jay

Haugo, Bradley Jay is an individual health care provider with primary practice located at 10 N O Connell Ave , Springfield MN 56087-1308. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Haugo, Bradley Jay can be contacted via phone (507) 723-5515.

Contact Information

Primary practice address
10 N O Connell Ave Springfield MN 56087-1308
Phone: (507) 723-5515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2496 Minnesota

Profile Details

NPI number 1043279243
LBN Legal business name Haugo, Bradley Jay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 19th, 2010 - about 16 years ago

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 1043279243 NPPES
Minnesota MEDICAID 911028300
Minnesota Other 5C248HA

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