Luong, Jacqueline A

Luong, Jacqueline A is an individual health care provider with primary practice located at 6545 France Ave S Ste 350 , Edina MN 55435-2120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Luong, Jacqueline A can be contacted via phone (952) 920-2600.

Contact Information

Primary practice address
6545 France Ave S Ste 350 Edina MN 55435-2120
Phone: (952) 920-2600
Fax: (952) 920-2668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 40310 Minnesota

Profile Details

NPI number 1598874778
LBN Legal business name Luong, Jacqueline A
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 11th, 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 1598874778 NPPES
Minnesota Other P00263371 RAILROAD MEDICARE
Minnesota Other 40310 RAILROAD MEDICARE
Minnesota Other 151727 RAILROAD MEDICARE
Minnesota MEDICAID 495527700 RAILROAD MEDICARE
Minnesota Other 548T8LU RAILROAD MEDICARE
Minnesota Other 1300021 RAILROAD MEDICARE
Minnesota MEDICAID 34612600 RAILROAD MEDICARE
Minnesota Other 960001031243 RAILROAD MEDICARE
Minnesota Other 1300179 RAILROAD MEDICARE
Minnesota Other HP35943 RAILROAD MEDICARE

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