Hales, Jeremiah
Hales, Jeremiah is an sole proprietor health care provider with primary practice located at 5107 W 98Th St , Bloomington MN 55437-2040. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hales, Jeremiah can be contacted via phone (612) 226-5729.Contact Information
Primary practice address
5107 W 98Th St
Bloomington MN 55437-2040
Phone: (612) 226-5729
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 6782 | Minnesota |
Profile Details
| NPI number | 1457327363 |
|---|---|
| LBN Legal business name | Hales, Jeremiah |
| Credentials | M.S.,L.P.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Oct 1st, 2010 - about 14 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 | 1457327363 | NPPES |
| Minnesota | MEDICAID | 423915600 | |
| Minnesota | Other | 77G34HA |
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