Janzen, Jodine L

Janzen, Jodine L is an individual health care provider with primary practice located at 120 1St Ave E , Cambridge MN 55008-1209. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Janzen, Jodine L can be contacted via phone (763) 689-1494.

Contact Information

Primary practice address
120 1St Ave E Cambridge MN 55008-1209
Phone: (763) 689-1494
Fax: (763) 691-8395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2586 Minnesota

Profile Details

NPI number 1952396111
LBN Legal business name Janzen, Jodine L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Feb 4th, 2010 - about 14 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 1952396111 NPPES
Minnesota Other 410047970 RAILROAD MEDICARE
Minnesota Other 1014827 RAILROAD MEDICARE
Minnesota Other 64G67JA RAILROAD MEDICARE
Minnesota MEDICAID 321025100 RAILROAD MEDICARE
Minnesota Other 2201810 RAILROAD MEDICARE

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