Johaneson, Jessa

Johaneson, Jessa is an individual health care provider with primary practice located at 1123 E Blue Earth Ave , Fairmont MN 56031-4226. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Johaneson, Jessa can be contacted via phone (507) 235-5965.

Contact Information

Primary practice address
1123 E Blue Earth Ave Fairmont MN 56031-4226
Phone: (507) 235-5965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 121455 Minnesota

Profile Details

NPI number 1366842569
LBN Legal business name Johaneson, Jessa
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2014
Last updated Aug 26th, 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.

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