Dwyer, Jack

Dwyer, Jack is an individual health care provider with primary practice located at 550 Vandalia St , Saint Paul MN 55114-1833. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Dwyer, Jack can be contacted via phone (651) 313-6733.

Contact Information

Primary practice address
550 Vandalia St Saint Paul MN 55114-1833
Phone: (651) 313-6733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1235629775
LBN Legal business name Dwyer, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated May 10th, 2018 - about 7 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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