Dineen, Jacob

Dineen, Jacob is an individual health care provider with primary practice located at 4201 Dean Lakes Blvd Ste 160 , Shakopee MN 55379-2863. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Dineen, Jacob can be contacted via phone (507) 322-7751.

Contact Information

Primary practice address
4201 Dean Lakes Blvd Ste 160 Shakopee MN 55379-2863
Phone: (507) 322-7751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1316563935
LBN Legal business name Dineen, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2020
Last updated Jun 19th, 2020 - about 6 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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