Smith, Jerene S

Smith, Jerene S is an individual health care provider with primary practice located at 6490 Excelsior Blvd Ste E 400 Park Nicollet Clinic - Meadowbrook, St Louis Park MN 55426. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Smith, Jerene S can be contacted via phone (952) 993-3123.

Contact Information

Primary practice address
6490 Excelsior Blvd Ste E 400 Park Nicollet Clinic - Meadowbrook St Louis Park MN 55426
Phone: (952) 993-3123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1295712750
LBN Legal business name Smith, Jerene S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 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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