Tastad, Jake

Tastad, Jake is an individual health care provider with primary practice located at 100 Fuller St S , Shakopee MN 55379-1348. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Tastad, Jake can be contacted via phone (888) 953-4955.

Contact Information

Primary practice address
100 Fuller St S Shakopee MN 55379-1348
Phone: (888) 953-4955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1346088200
LBN Legal business name Tastad, Jake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2024
Last updated Jul 16th, 2024 - about 2 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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