Jakala, John S

Jakala, John S is an individual health care provider with primary practice located at 6490 Excelsior Blvd Ste E400, St Louis Park MN 55426-4705. 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. Jakala, John S can be contacted via phone (952) 993-3123.

Contact Information

Primary practice address
6490 Excelsior Blvd Ste E400 St Louis Park MN 55426-4705
Phone: (952) 993-3123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8835 Minnesota

Profile Details

NPI number 1356325997
LBN Legal business name Jakala, John S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated May 30th, 2008 - about 16 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 1356325997 NPPES
Minnesota MEDICAID 253605600

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