Jansen, Cynthia S
Jansen, Cynthia S is an individual health care provider with primary practice located at 10705 Town Square Dr Ne Ste 210 , Blaine MN 55449-8187. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jansen, Cynthia S can be contacted via phone (763) 284-2992.Contact Information
Primary practice address
10705 Town Square Dr Ne Ste 210
Blaine MN 55449-8187
Phone: (763) 284-2992
Fax: (763) 427-8131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1457335044 |
|---|---|
| LBN Legal business name | Jansen, Cynthia S |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jan 25th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457335044 | NPPES |
| Minnesota | MEDICAID | 764480900 |
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