JILL M BRAATEN (NPI# 1891972584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891972584 |
Entity Type | Individual |
Full Name | JILL M BRAATEN |
Credential | DC |
Practice Address |
750 1st Street South Suite 103 Waite Park MN 56387 |
Practice Telephone | 3202406561 |
Mailing Telephone | 3202406561 |
Enumeration Date | 2008-01-25 |
Last Update Date | 2008-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4986 | MN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICARE PTAN | 350004055 | 01 |
MN | BLUE CROSS BLUE SHIELD PROVIDER ID | 36M21BR | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720228034 | Jill R Braaten | Dietitian, Registered | 500 W Grant St, Lake City, MN 55041-1143 | 2009-02-26 |
Street Address |
750 1ST STREET SOUTH SUITE 103 |
City | WAITE PARK |
State | MN |
Zip Code | 56387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962041269 | Kayli Marie Brzinski | Massage Therapist | 700 Division St, Waite Park, MN 56387 | 2020-01-03 |
1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
1467826016 | Nogob Transportion Inc | Non-emergency Medical Transport (VAN) | 427 Sundial Drive, Waite Park, MN 56387 | 2015-11-19 |
1790043271 | Ruth Marie Kuhlman | Psychologist | 110 2nd Street South, Suite 203, Waite Park, MN 56387 | 2012-05-02 |
1538463435 | Bjerke Counseling Services, LLC | Community/Behavioral Health | 110 Second Street, South, Suite 303, Waite Park, MN 56387 | 2011-01-06 |
1578799714 | Councseling Associates, Pa | Marriage & Family Therapist | 110 Second Street South, Suite 304, Waite Park, MN 56387 | 2009-06-02 |
1063678357 | Chiropractic Connection Pllc | Chiropractor | 2103 Frontage Rd N, #19, Waite Park, MN 56387 | 2008-08-06 |
1609053396 | Braaten Chiropractic LLC | Chiropractor | 750 1st. St. S. Ste 103, Waite Park, MN 56387 | 2008-01-25 |
1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
1538270442 | Derek John Grabowski | Dentist | 758 1st St S # 101, Waite Park, MN 56387 | 2006-08-31 |
Find all providers in zip 56387 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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 interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912378068 | Carolyn Urbanski | Chiropractor | 750 1st St S, Ste 103, Waite Park, MN 56387-1315 | 2015-10-15 |
1851648604 | Evan Eigen | Chiropractor | 171 7th Ave S, Waite Park, MN 56387-1362 | 2012-08-11 |
1336417807 | Chiropractic Plus P.a. | Chiropractor | 217 3rd St Ne, Waite Park, MN 56387-1271 | 2011-12-12 |
1053639898 | Jason T Baker Chiropractic, P.a. | Chiropractor | 79 10th Ave S, Waite Park, MN 56387-1040 | 2010-05-04 |
1043457500 | Jennifer Bestick Dc, LLC | Chiropractor | 750 1st St S Ste 103, Waite Park, MN 56387-1315 | 2009-01-20 |
1063678357 | Chiropractic Connection Pllc | Chiropractor | 2103 Frontage Rd N, #19, Waite Park, MN 56387 | 2008-08-06 |
1609053396 | Braaten Chiropractic LLC | Chiropractor | 750 1st. St. S. Ste 103, Waite Park, MN 56387 | 2008-01-25 |
1801084694 | Atlas Family Chiropractic, Inc. | Chiropractor | 110 2nd St S Ste 124, Waite Park, MN 56387-1307 | 2007-10-05 |
1982757357 | Bruce Paul Ellingson | Chiropractor | 140 3rd St N, Waite Park, MN 56387-1206 | 2007-01-19 |
1598825614 | Darrell K Metcalf | Chiropractor | 304 4th Ave Ne, Suite 3, Waite Park, MN 56387-1236 | 2006-12-11 |
Find all providers in WAITE PARK |
City | WAITE PARK |
Zip Code | 56387 |
Please comment or provide details below to improve the information on JILL M BRAATEN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.