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Contact Information

BRADLEY W NEUJAHR OD PA
14 2ND ST NE
BAGLEY, MN56621
 Phone: 218-694-2442
 Fax: 218-694-2446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRADLEY W NEUJAHR OD PA · (Female)

NPI Number 1558350678
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2005
Last updated 11/24/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 1892
  • MN Medicaid 137823600
  • MN Other 82043NE BLUE PLUS
  • MN Other 83340NE BLUE PLUS
  • MN Other 42B91NE BLUE PLUS OPTICAL
  • MN Other 2100013 MEDICA
  • MN Other 2224062 MEDICA
  • MN Other 410027728 MEDICARE RAILROAD
  • MN Other 08298 METRO HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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