Gores, Jolene Marie

Gores, Jolene Marie is an individual health care provider with primary practice located at 1075 Highway 96 E , Saint Paul MN 55127-2326. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gores, Jolene Marie can be contacted via phone (651) 426-9225.

Contact Information

Primary practice address
1075 Highway 96 E Saint Paul MN 55127-2326
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 115847-2 Minnesota

Profile Details

NPI number 1023393170
LBN Legal business name Gores, Jolene Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2011
Last updated Oct 19th, 2011 - about 14 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.

Request for update

Popular Providers