Bottelberghe, Jacob

Bottelberghe, Jacob is an individual health care provider with primary practice located at 300 S Bruce St , Marshall MN 56258-1934. 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. Bottelberghe, Jacob can be contacted via phone (507) 537-9165.

Contact Information

Primary practice address
300 S Bruce St Marshall MN 56258-1934
Phone: (507) 537-9165
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1346894748
LBN Legal business name Bottelberghe, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2019
Last updated Jul 25th, 2019 - about 7 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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