Denbo, Jason William
Denbo, Jason William is an sole proprietor health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Denbo, Jason William can be contacted via phone (612) 672-6000.Contact Information
Primary practice address
2450 Riverside Ave
Minneapolis MN 55454-1450
Phone: (612) 672-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | Q1587 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 62506 | Minnesota |
Profile Details
| NPI number | 1346432572 |
|---|---|
| LBN Legal business name | Denbo, Jason William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2007 |
| Last updated | Jan 18th, 2018 - about 6 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 | 1346432572 | NPPES |
| Texas | MEDICAID | 343113201 (MDACC) | |
| Texas | Other | 8ET732 (MDACC) |
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