Van Allen, Jacob Fredrick
Van Allen, Jacob Fredrick is an sole proprietor health care provider with primary practice located at 1811 Weir Dr Ste 270 , Woodbury MN 55125-6741. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Van Allen, Jacob Fredrick can be contacted via phone (651) 714-9646.Contact Information
Primary practice address
1811 Weir Dr Ste 270
Woodbury MN 55125-6741
Phone: (651) 714-9646
Fax: (651) 714-9647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305300 | Minnesota |
Profile Details
| NPI number | 1801631767 |
|---|---|
| LBN Legal business name | Van Allen, Jacob Fredrick |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2024 |
| Last updated | Jul 1st, 2024 - about last year |
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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