Zimmerman, Jacob

Zimmerman, Jacob is an individual health care provider with primary practice located at 3450 O'Leary Ln. , Eagan MN 55123. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Zimmerman, Jacob can be contacted via phone (651) 365-8224.

Contact Information

Primary practice address
3450 O'Leary Ln. Eagan MN 55123
Phone: (651) 365-8224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922452507
LBN Legal business name Zimmerman, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2016
Last updated Jun 14th, 2016 - about 10 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 1922452507 NPPES
Other 1204 LICENSE LPCC

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