Deweerth, Jacob Cooper

Deweerth, Jacob Cooper is an individual 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 / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Deweerth, Jacob Cooper 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 65497 Minnesota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 65497 Minnesota

Profile Details

NPI number 1306265582
LBN Legal business name Deweerth, Jacob Cooper
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Jul 29th, 2019 - about 5 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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