Deforrest, Jessica

Deforrest, Jessica is an sole proprietor health care provider with primary practice located at 4080 W Broadway Ave Ste 300 , Robbinsdale MN 55422-5607. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Deforrest, Jessica can be contacted via phone (651) 231-8379.

Contact Information

Primary practice address
4080 W Broadway Ave Ste 300 Robbinsdale MN 55422-5607
Phone: (651) 231-8379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1755 Minnesota

Profile Details

NPI number 1508133190
LBN Legal business name Deforrest, Jessica
Credentials MA, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2011
Last updated Nov 26th, 2011 - about 15 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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