Kasbohm, Jeffrey Owen

Kasbohm, Jeffrey Owen is an individual health care provider with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kasbohm, Jeffrey Owen can be contacted via phone (763) 572-5710.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (763) 572-5710
Fax: (763) 586-5888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9692 Minnesota

Profile Details

NPI number 1447352547
LBN Legal business name Kasbohm, Jeffrey Owen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 9th, 2007 - about 19 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 1447352547 NPPES
Minnesota Other 1639459 AMERICA'S PPO
Minnesota Other 0110266 AMERICA'S PPO
Minnesota Other 141816 AMERICA'S PPO
Minnesota Other 64G07KA AMERICA'S PPO
Minnesota Other 6605100 AMERICA'S PPO
Minnesota Other 1030604 AMERICA'S PPO
Minnesota Other HP35076 AMERICA'S PPO

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