Elijah, Jennifer Elaine

Elijah, Jennifer Elaine is an sole proprietor health care provider with primary practice located at 7415 Wayzata Blvd , St Louis Park MN 55426-1607. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Elijah, Jennifer Elaine can be contacted via phone (330) 821-0052.

Contact Information

Primary practice address
7415 Wayzata Blvd St Louis Park MN 55426-1607
Phone: (330) 821-0052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 5524 Ohio

Profile Details

NPI number 1730224825
LBN Legal business name Elijah, Jennifer Elaine
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Feb 8th, 2022 - about 4 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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