Jagodzinski, Susan M

Jagodzinski, Susan M is an individual health care provider with primary practice located at 1013 Hart Blvd , Monticello MN 55362-8575. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jagodzinski, Susan M can be contacted via phone (763) 271-2248.

Contact Information

Primary practice address
1013 Hart Blvd Monticello MN 55362-8575
Phone: (763) 271-2248
Fax: (763) 271-2890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R101747-4 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9714 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9714 Minnesota

Profile Details

NPI number 1982664769
LBN Legal business name Jagodzinski, Susan M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 25th, 2021 - about 5 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

Identifiers

StateTypeNumberIssuer
All States NPI 1982664769 NPPES
Minnesota MEDICAID 388243800

Popular Providers