Petterson, Chad Jeremy

Petterson, Chad Jeremy is an individual health care provider with primary practice located at 825 Bahls Drive , Hastings MN 55033. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petterson, Chad Jeremy can be contacted via phone (651) 480-1128.

Contact Information

Primary practice address
825 Bahls Drive Hastings MN 55033
Phone: (651) 480-1128
Fax: (651) 438-3929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3748 Minnesota

Profile Details

NPI number 1003986886
LBN Legal business name Petterson, Chad Jeremy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1003986886 NPPES
Minnesota Other 198G8PE BLUE CROSS BLUE SHIELD #
Minnesota Other CO3874 BLUE CROSS BLUE SHIELD #
Minnesota Other 106179 BLUE CROSS BLUE SHIELD #

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