Jasper, Deanna Latoya

Jasper, Deanna Latoya is an individual health care provider with primary practice located at 11011 Jefferson St Ne , Blaine MN 55434-2826. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Jasper, Deanna Latoya can be contacted via phone (763) 862-9093.

Contact Information

Primary practice address
11011 Jefferson St Ne Blaine MN 55434-2826
Phone: (763) 862-9093
Fax: (763) 755-0217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1083012538
LBN Legal business name Jasper, Deanna Latoya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2014
Last updated Dec 16th, 2014 - about 12 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 1083012538 NPPES
Minnesota MEDICAID 471049469

Popular Providers