Jagodzinski, Susan M
Jagodzinski, Susan M is an individual health care provider with primary practice located at 1013 Hart Blvd , Monticello MN 55362-8575. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jagodzinski, Susan M can be contacted via phone (763) 271-2248.Contact Information
Primary practice address
1013 Hart Blvd
Monticello MN 55362-8575
Phone: (763) 271-2248
Fax: (763) 271-2890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | R101747-4 | Minnesota |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9714 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9714 | Minnesota |
Profile Details
NPI number | 1982664769 |
---|---|
LBN Legal business name | Jagodzinski, Susan M |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Jun 25th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982664769 | NPPES |
Minnesota | MEDICAID | 388243800 |
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