Jenness, Casey
Jenness, Casey is an individual health care provider with primary practice located at 5094 151St St W , Apple Valley MN 55124-7043. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jenness, Casey can be contacted via phone (651) 247-8945.Contact Information
Primary practice address
5094 151St St W
Apple Valley MN 55124-7043
Phone: (651) 247-8945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 121783 | Minnesota |
Profile Details
| NPI number | 1225431810 |
|---|---|
| LBN Legal business name | Jenness, Casey |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2014 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225431810 | NPPES |
| Minnesota | Other | 121783 | MN BOARD OF PHARMACY LICENSE |
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