Waldo, Jeremy Jay
Waldo, Jeremy Jay is an individual health care provider with primary practice located at 111 County Road 11 Nw , Pine Island MN 55963-9756. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Waldo, Jeremy Jay can be contacted via phone (507) 356-4929.Contact Information
Primary practice address
111 County Road 11 Nw
Pine Island MN 55963-9756
Phone: (507) 356-4929
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R1432965 | Minnesota |
Profile Details
| NPI number | 1215222708 |
|---|---|
| LBN Legal business name | Waldo, Jeremy Jay |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2011 |
| Last updated | Jun 13th, 2011 - about 15 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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