Ellingson, Jacob Ryan

Ellingson, Jacob Ryan is an individual health care provider with primary practice located at 301 Highway 65 S , Mora MN 55051-1899. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Ellingson, Jacob Ryan can be contacted via phone (320) 225-3356.

Contact Information

Primary practice address
301 Highway 65 S Mora MN 55051-1899
Phone: (320) 225-3356
Fax: (320) 225-3370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 6749 Minnesota

Profile Details

NPI number 1346210432
LBN Legal business name Ellingson, Jacob Ryan
Credentials MSPT, SCS, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 9th, 2014 - 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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