Panka, Jacob J

Panka, Jacob J is an individual health care provider with primary practice located at 3041 Aldrich Ave S , Minneapolis MN 55408. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Panka, Jacob J can be contacted via phone (612) 568-8382.

Contact Information

Primary practice address
3041 Aldrich Ave S Minneapolis MN 55408
Phone: (612) 568-8382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 1099 Minnesota

Profile Details

NPI number 1104380880
LBN Legal business name Panka, Jacob J
Credentials N.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2019
Last updated Sep 17th, 2019 - about 7 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 1104380880 NPPES
Minnesota Other 1099 NATUROPATHIC DOCTOR

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