JAYDEN2006; NPI #1922347848

Contact Information

JAYDEN2006

13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369-9410

Phone: 612-599-0153
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for JAYDEN2006

NPI #	`1922347848`
LBN Legal business name	JAYDEN2006
Authorized official	JAMES HAWLEY - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/13/2013
Last updated	02/13/2013 - About 13 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JAYDEN2006

Contact Information

Specialty

Optician

NPI Profile & details for JAYDEN2006

Reviews for JAYDEN2006