Englund, Jill Marie

Englund, Jill Marie is an individual health care provider with primary practice located at 9801 Dupont Ave So Suite 425, Bloomington MN 55431-3100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Englund, Jill Marie can be contacted via phone (952) 888-5800.

Contact Information

Primary practice address
9801 Dupont Ave So Suite 425 Bloomington MN 55431-3100
Phone: (952) 888-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9928 Minnesota

Profile Details

NPI number 1427042019
LBN Legal business name Englund, Jill Marie
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 25th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427042019 NPPES
Minnesota Other 9928 STATE LICENSE

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