Jill M Braaten is a Chiropractor in Waite Park, Minnesota. Jill M Braaten practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jill M Braaten is 1891972584. The last update date is 2008-10-20.
Jill M Braaten's current location address is 750 1st Street South, Waite Park, Minnesota. You can contact this provider via phone number 3202406561. The mailing address for Jill M Braaten is 750 1st Street South, Waite Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill M Braaten |
|---|---|
| Address | 750 1st Street South, Waite Park, Minnesota |
| Phone Number | 3202406561 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1891972584 |
|---|---|
| Provider Enumeration Date | 2008-01-25 |
| Last Updated Date | 2008-10-20 |
Provider Mailing Address Detail
| Address | 750 1st Street South |
|---|---|
| City | Waite Park |
| State | Minnesota (MN) |
| Post Code | 56387 |
| Phone Number | 3202406561 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4986 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350004055 | MN | MEDICARE PTAN | |
| 36M21BR | MN | BLUE CROSS BLUE SHIELD PROVIDE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jill M Braaten?
The Jill M Braaten has been issued the NPI (National Provider Identifier) 1891972584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jill M Braaten?
The Jill M Braaten is situated at 750 1St Street South, in the city of Waite Park, state of MN, with the zip code 56387.
What is the area of specialization for Jill M Braaten, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jill M Braaten is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891972584 to Jill M Braaten?
The Centers for Medicare & Medicaid Services originally issued the 1891972584 to Jill M Braaten on 2008-01-25.
When was the Jill M Braaten's information last updated?
The Jill M Braaten's information was last updated on 2008-10-20.
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