Individual
JEREMIAH HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,L.P.T.
Contact information
Practice address
5107 W 98TH ST, BLOOMINGTON, MN 55437-2040
(612) 226-5729
Mailing address
5107 W 98TH ST, BLOOMINGTON, MN 55437-2040
(612) 226-5729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6782
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423915600
—
MN
01
—
77G34HA
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/28/2006
Last updated
10/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us