Heiring, Jessica Olson

Heiring, Jessica Olson is an individual health care provider with primary practice located at 4225 Golden Valley Rd , Golden Valley MN 55422-4215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Heiring, Jessica Olson can be contacted via phone (763) 588-0661.

Contact Information

Primary practice address
4225 Golden Valley Rd Golden Valley MN 55422-4215
Fax: (763) 302-4346
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 33078 Minnesota

Profile Details

NPI number 1326095092
LBN Legal business name Heiring, Jessica Olson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Mar 5th, 2019 - about 5 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 1326095092 NPPES
Minnesota MEDICAID 436875400
Minnesota Other 265049
Minnesota Other 130007652
Minnesota Other HP13502
Minnesota Other 104791C029
Minnesota Other 22667
Minnesota Other 0526122
Minnesota Other 4D166HE
Minnesota MEDICAID 31871000

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