Organization
JEFF HADY INC.
Active
Other names
Pike Lake Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY FRANCIS HADY D.C. (PRESIDENT)
(218) 729-8936
Entity
Organization
Contact information
Practice address
5663 MILLER TRUNK HWY, DULUTH, MN 55811-1229
(218) 729-8936
(218) 729-8944
Mailing address
5663 MILLER TRUNK HWY, DULUTH, MN 55811-1229
(218) 729-8936
(218) 729-8944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2279
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4423422
CHIROCARE
MN
01
—
4448132
MEDICA
MN
01
—
74414HA
BLUE CROSS & BLUE SHIELD
MN
Enumeration date
04/08/2008
Last updated
04/08/2008
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