SARAH ELIZABETH THON HAGGBLOOM (NPI# 1184015083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184015083 |
| Entity Type | Individual |
| Full Name | SARAH ELIZABETH THON HAGGBLOOM |
| Credential | DC, ATC |
| Practice Address |
11417 Hanson Blvd Nw Ste 101 Coon Rapids MN 55433 |
| Mailing Address |
9816 Norwood Ln N Maple Grove MN 55369-3696 |
| Practice Telephone | 7637541482 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6250 | MN | Chiropractic Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2186 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16988 79th Ave N, Maple Grove, MN 553113721 | 5073303109 |
| Street Address |
11417 HANSON BLVD NW STE 101 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| 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 |
|---|---|---|---|---|
| 1063054302 | Moe Chiro Tres Pllc | Chiropractor | 1835 Gateway Dr Ste 104, Coon Rapids, MN 55448-4513 | 2019-10-08 |
| 1669840567 | Due North Wellness Center Pllc | Chiropractor | 1820 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4755 | 2015-09-09 |
| 1215329362 | Ryan W. Nolte, D.c., P.a. | Chiropractor | 199 Coon Rapids Blvd Nw Ste 315, Coon Rapids, MN 55433-5861 | 2015-02-26 |
| 1134526502 | Riley Sowle | Chiropractor | 1835 Gateway Dr., Suite 104, Coon Rapids, MN 55448-1469 | 2014-12-01 |
| 1609270206 | Barton Stark | Chiropractor | 10006 University Ave Nw, Coon Rapids, MN 55448-6138 | 2014-10-10 |
| 1073915732 | Premier Health of Coon Rapids, Inc | Chiropractor | 3340 Northdale Blvd Nw, Suite 120, Coon Rapids, MN 55448-1622 | 2014-09-24 |
| 1386068658 | Kelsey Lyn Erickson-chmiel | Chiropractor | 3340 Northdale Blvd Nw Ste 120, Coon Rapids, MN 55448-1622 | 2014-02-07 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1841560109 | Dillon Robert Sletten | Chiropractor | 9920 Foley Blvd Nw Suite 140, Coon Rapids, MN 55433 | 2012-01-04 |
| 1689807760 | Lewis Chiropractic PC | Chiropractor | 120 6th Ave, Coon Rapids, IA 50058 | 2009-08-24 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on SARAH ELIZABETH THON HAGGBLOOM.
| 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.