Edstrom, Jeanine Marie
Edstrom, Jeanine Marie is an individual health care provider with primary practice located at 1185 Town Centre Dr Ste 200 , Eagan MN 55123-1343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Edstrom, Jeanine Marie can be contacted via phone (612) 871-1145.Contact Information
Primary practice address
1185 Town Centre Dr Ste 200
Eagan MN 55123-1343
Phone: (612) 871-1145
Fax: (612) 870-5491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1504 | Minnesota |
Profile Details
| NPI number | 1447560693 |
|---|---|
| LBN Legal business name | Edstrom, Jeanine Marie |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2010 |
| Last updated | Mar 20th, 2013 - about 13 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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