Guth, Jacob Gregory

Guth, Jacob Gregory is an individual health care provider with primary practice located at 1835 County Road C West Suite 150, Stillwater MN 55082-5078. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Guth, Jacob Gregory can be contacted via phone (651) 259-4501.

Contact Information

Primary practice address
1835 County Road C West Suite 150 Stillwater MN 55082-5078
Phone: (651) 259-4501
Fax: (651) 430-1447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 393 Minnesota

Profile Details

NPI number 1134169774
LBN Legal business name Guth, Jacob Gregory
Credentials P.A.C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 11th, 2021 - about 4 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 1134169774 NPPES
Minnesota Other 1047498 PREFERRED ONE
Minnesota Other 135584 PREFERRED ONE
Minnesota Other 527G9GU PREFERRED ONE
Minnesota Other HP65749 PREFERRED ONE
Minnesota MEDICAID 747410500 PREFERRED ONE
Minnesota Other 2443375 PREFERRED ONE
Minnesota MEDICAID 42886700 PREFERRED ONE
Minnesota Other 0124329 PREFERRED ONE

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