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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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