Jewison, David

Jewison, David is an individual health care provider with primary practice located at 2525 University Ave Se , Minneapolis MN 55414-3205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jewison, David can be contacted via phone (612) 884-0406.

Contact Information

Primary practice address
2525 University Ave Se Minneapolis MN 55414-3205
Phone: (612) 884-0406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.053428 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X 261QM1300X Minnesota

Profile Details

NPI number 1003075383
LBN Legal business name Jewison, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Jan 30th, 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 1003075383 NPPES
Minnesota Other 107369 MINNESOTA MEDICAL LICENSE NUMBER

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