Ekins, Jacob Brent

Ekins, Jacob Brent is an individual health care provider with primary practice located at 1000 1St Dr Nw , Austin MN 55912-2941. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ekins, Jacob Brent can be contacted via phone (507) 433-7351.

Contact Information

Primary practice address
1000 1St Dr Nw Austin MN 55912-2941
Phone: (507) 433-7351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 104469 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52203 Minnesota

Profile Details

NPI number 1528212420
LBN Legal business name Ekins, Jacob Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2008
Last updated Oct 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528212420 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID ENROLLED

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