Denbo, Jason William

Denbo, Jason William is an sole proprietor health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Denbo, Jason William can be contacted via phone (612) 672-6000.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Phone: (612) 672-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X Q1587 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 62506 Minnesota

Profile Details

NPI number 1346432572
LBN Legal business name Denbo, Jason William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2007
Last updated Jan 18th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346432572 NPPES
Texas MEDICAID 343113201 (MDACC)
Texas Other 8ET732 (MDACC)

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