Jessen, Jamey C

Jessen, Jamey C is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jessen, Jamey C can be contacted via phone (701) 280-4140.

Contact Information

Primary practice address
1720 University Dr S Fargo ND 58103-4940
Phone: (701) 280-4140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50415 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10790 North Dakota

Profile Details

NPI number 1982643219
LBN Legal business name Jessen, Jamey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Nov 21st, 2011 - about 13 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 1982643219 NPPES
Minnesota MEDICAID 233460000
Minnesota MEDICAID 14574

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