Dimitri, Jill

Dimitri, Jill is an sole proprietor health care provider with primary practice located at 2555 County Road E E # 102 , White Bear Lake MN 55110-4906. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dimitri, Jill can be contacted via phone (651) 683-2953.

Contact Information

Primary practice address
2555 County Road E E # 102 White Bear Lake MN 55110-4906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9503 Minnesota

Profile Details

NPI number 1568543387
LBN Legal business name Dimitri, Jill
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Oct 2nd, 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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