Haycraft, Laurel L
Haycraft, Laurel L is an individual health care provider with primary practice located at 7901 Xerxes Ave S Ste 116 , Bloomington MN 55431-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haycraft, Laurel L can be contacted via phone (952) 888-2024.Contact Information
Primary practice address
7901 Xerxes Ave S Ste 116
Bloomington MN 55431-1200
Phone: (952) 888-2024
Fax: (952) 888-3985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 208103 | Minnesota |
Profile Details
| NPI number | 1972667772 |
|---|---|
| LBN Legal business name | Haycraft, Laurel L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Apr 4th, 2011 - about 13 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 | 1972667772 | NPPES |
| Minnesota | MEDICAID | 019885400 |
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