Fladmark, Jesse Lee
Fladmark, Jesse Lee is an individual health care provider with primary practice located at 1654 Diffley Rd 100, Eagan MN 55122-2237. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fladmark, Jesse Lee can be contacted via phone (651) 641-3900.Contact Information
Primary practice address
1654 Diffley Rd 100
Eagan MN 55122-2237
Phone: (651) 641-3900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 12157 | Minnesota |
Profile Details
NPI number | 1295019388 |
---|---|
LBN Legal business name | Fladmark, Jesse Lee |
Credentials | PA-C, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2011 |
Last updated | May 19th, 2023 - about 2 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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