Haskell, Brent Jeffrey

Haskell, Brent Jeffrey is an sole proprietor health care provider with primary practice located at 701 E Comanche Ln Ste B , Dodge City KS 67801-4500. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Haskell, Brent Jeffrey can be contacted via phone (620) 225-9922.

Contact Information

Primary practice address
701 E Comanche Ln Ste B Dodge City KS 67801-4500
Fax: (620) 225-1948
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4590 Kansas

Profile Details

NPI number 1629254172
LBN Legal business name Haskell, Brent Jeffrey
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2008
Last updated Jan 15th, 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 1629254172 NPPES
Kansas Other 060023 BCBS OF KS

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