Jonkman, Tracy

Jonkman, Tracy is an individual health care provider with primary practice located at 5435 Feltl Rd , Minnetonka MN 55343-7983. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Jonkman, Tracy can be contacted via phone (952) 857-1504.

Contact Information

Primary practice address
5435 Feltl Rd Minnetonka MN 55343-7983
Phone: (952) 857-1504
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 51727 Minnesota

Profile Details

NPI number 1598978876
LBN Legal business name Jonkman, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Feb 11th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598978876 NPPES
Minnesota MEDICAID 1598978876
Minnesota Other 930003327

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