Jenicke, Dorothy Lee
Jenicke, Dorothy Lee is an individual health care provider with primary practice located at 16180 Hastings Ave Se , Prior Lake MN 55372-9227. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Jenicke, Dorothy Lee can be contacted via phone (952) 443-4600.Contact Information
Primary practice address
16180 Hastings Ave Se
Prior Lake MN 55372-9227
Phone: (952) 443-4600
Fax: (952) 443-4604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1053088245 |
|---|---|
| LBN Legal business name | Jenicke, Dorothy Lee |
| Credentials | STUDENT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2021 |
| Last updated | Aug 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.
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