Jacobsen, Audrey

Jacobsen, Audrey is an sole proprietor health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Jacobsen, Audrey can be contacted via phone (612) 873-6963.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-6963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 72444 Minnesota

Profile Details

NPI number 1669907085
LBN Legal business name Jacobsen, Audrey
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2017
Last updated Mar 25th, 2024 - about 2 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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