Jelle, Kos Adam
Jelle, Kos Adam is an individual health care provider with primary practice located at 4008 Minnehaha Ave , Minneapolis MN 55406-3306. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jelle, Kos Adam can be contacted via phone (612) 387-6968.Contact Information
Primary practice address
4008 Minnehaha Ave
Minneapolis MN 55406-3306
Phone: (612) 387-6968
Fax: (612) 213-1206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1497466742 |
|---|---|
| LBN Legal business name | Jelle, Kos Adam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2022 |
| Last updated | Dec 7th, 2022 - about 3 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 | 1497466742 | NPPES |
| Minnesota | MEDICAID | 88-1475797 |
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