Dutton, Jessica

Dutton, Jessica is an sole proprietor health care provider with primary practice located at 5 Birchwood Ave , White Bear Lake MN 55110-1604. 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. Dutton, Jessica can be contacted via phone (651) 249-3622.

Contact Information

Primary practice address
5 Birchwood Ave White Bear Lake MN 55110-1604
Phone: (651) 249-3622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2505 Minnesota

Profile Details

NPI number 1972905495
LBN Legal business name Dutton, Jessica
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2014
Last updated Sep 17th, 2014 - about 12 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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