Diercks, Jonathon
Diercks, Jonathon is an individual health care provider with primary practice located at 3800 American Blvd W Suite 2, Bloomington MN 55431-4420. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Diercks, Jonathon can be contacted via phone (952) 993-9706.Contact Information
Primary practice address
3800 American Blvd W Suite 2
Bloomington MN 55431-4420
Phone: (952) 993-9706
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2597 | Minnesota |
Profile Details
| NPI number | 1861879868 |
|---|---|
| LBN Legal business name | Diercks, Jonathon |
| Credentials | MS, ATR, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2015 |
| Last updated | Apr 29th, 2015 - 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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