Kvasnicka, Jerald A

Kvasnicka, Jerald A is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kvasnicka, Jerald A can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R084245-9 Minnesota

Profile Details

NPI number 1104898881
LBN Legal business name Kvasnicka, Jerald A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated May 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104898881 NPPES
Minnesota Other 430021296 RAILROAD MEDICARE
Minnesota MEDICAID ENROLLED RAILROAD MEDICARE
Minnesota MEDICAID 44378100 RAILROAD MEDICARE
Minnesota MEDICAID 889018800 RAILROAD MEDICARE
Minnesota MEDICAID ENROLLED RAILROAD MEDICARE

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