Healy, Jessica A

Healy, Jessica A is an individual health care provider with primary practice located at 3555 Willow Lake Blvd Suite 240, Saint Paul MN 55110-5131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Healy, Jessica A can be contacted via phone (651) 770-0110.

Contact Information

Primary practice address
3555 Willow Lake Blvd Suite 240 Saint Paul MN 55110-5131
Fax: (651) 770-0134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 48236 Minnesota

Profile Details

NPI number 1104046820
LBN Legal business name Healy, Jessica A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 30th, 2017 - about 8 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 1104046820 NPPES
Minnesota MEDICAID 487468000

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