Sagedahl, Adam Jacob

Sagedahl, Adam Jacob is an individual health care provider with primary practice located at 33 10Th Ave S Ste 260 , Hopkins MN 55343-1308. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sagedahl, Adam Jacob can be contacted via phone (612) 655-3073.

Contact Information

Primary practice address
33 10Th Ave S Ste 260 Hopkins MN 55343-1308
Phone: (612) 655-3073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4501 Minnesota

Profile Details

NPI number 1477609527
LBN Legal business name Sagedahl, Adam Jacob
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 10th, 2016 - about 8 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 1477609527 NPPES
Minnesota MEDICAID 741143000

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