Delacruz, Jada
Delacruz, Jada is an individual health care provider with primary practice located at 1826 Commerce Dr , North Mankato MN 56003-1800. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Delacruz, Jada can be contacted via phone (507) 229-0350.Contact Information
Primary practice address
1826 Commerce Dr
North Mankato MN 56003-1800
Phone: (507) 229-0350
Fax: (507) 216-0371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2754 | Minnesota |
Profile Details
| NPI number | 1174269658 |
|---|---|
| LBN Legal business name | Delacruz, Jada |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2022 |
| Last updated | Sep 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174269658 | NPPES |
| Minnesota | Other | 306648 | LADC LICENSE |
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