Jacoway, Debra

Jacoway, Debra is an sole proprietor health care provider with primary practice located at 4816 Oakland Avenue S , Minneapolis MN 55417-1024. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jacoway, Debra can be contacted via phone (612) 432-9669.

Contact Information

Primary practice address
4816 Oakland Avenue S Minneapolis MN 55417-1024
Phone: (612) 432-9669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1194112102
LBN Legal business name Jacoway, Debra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2015
Last updated Apr 17th, 2015 - about 10 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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