Berwyn, Jacob Patrick

Berwyn, Jacob Patrick is an individual health care provider with primary practice located at 1001 Hart Blvd Ste 100 , Monticello MN 55362-8929. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Berwyn, Jacob Patrick can be contacted via phone (763) 295-2921.

Contact Information

Primary practice address
1001 Hart Blvd Ste 100 Monticello MN 55362-8929
Phone: (763) 295-2921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972021038
LBN Legal business name Berwyn, Jacob Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Mar 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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