Braaten, Jill M
Braaten, Jill M is an individual health care provider with primary practice located at 750 1St Street South Suite 103, Waite Park MN 56387. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Braaten, Jill M can be contacted via phone (320) 240-6561.Contact Information
Primary practice address
750 1St Street South Suite 103
Waite Park MN 56387
Phone: (320) 240-6561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4986 | Minnesota |
Profile Details
| NPI number | 1891972584 |
|---|---|
| LBN Legal business name | Braaten, Jill M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2008 |
| Last updated | Oct 20th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891972584 | NPPES |
| Minnesota | Other | 350004055 | MEDICARE PTAN |
| Minnesota | Other | 36M21BR | MEDICARE PTAN |
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