Haroldson, Chad A

Haroldson, Chad A is an individual health care provider with primary practice located at 1200 Sixth Ave No Centracare Clinic, St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Haroldson, Chad A can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 Sixth Ave No Centracare Clinic St Cloud MN 56303-2735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 101566 Minnesota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 47418 Minnesota

Profile Details

NPI number 1518927433
LBN Legal business name Haroldson, Chad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 18th, 2008 - 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 1518927433 NPPES
Minnesota MEDICAID 968137000

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