Jauss, Jacquelyn Marie

Jauss, Jacquelyn Marie is an individual health care provider with primary practice located at 11 Civic Center Plz Suite 201, Mankato MN 56001-7710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jauss, Jacquelyn Marie can be contacted via phone (507) 385-7725.

Contact Information

Primary practice address
11 Civic Center Plz Suite 201 Mankato MN 56001-7710
Phone: (507) 385-7725
Fax: (507) 385-0576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3400 Minnesota

Profile Details

NPI number 1235273624
LBN Legal business name Jauss, Jacquelyn Marie
Credentials PH.D.,L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2007
Last updated Dec 9th, 2014 - about 11 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 1235273624 NPPES
Minnesota Other 114895 UCARE
Minnesota Other 297G5JA UCARE
Minnesota Other 6162621 UCARE
Minnesota MEDICAID 195228500 UCARE

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