Moline, Jesse James

Moline, Jesse James is an individual health care provider with primary practice located at 1019 Bluff Pass S , Chaska MN 55318-9713. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moline, Jesse James can be contacted via phone (612) 250-9739.

Contact Information

Primary practice address
1019 Bluff Pass S Chaska MN 55318-9713
Phone: (612) 250-9739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1891266615
LBN Legal business name Moline, Jesse James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2018
Last updated May 29th, 2019 - about 6 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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