Jirak, Jan
Jirak, Jan is an individual health care provider with primary practice located at 314 Clifton Ave Ste 303 , Minneapolis MN 55403-3376. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Jirak, Jan can be contacted via phone (952) 985-1097.Contact Information
Primary practice address
314 Clifton Ave Ste 303
Minneapolis MN 55403-3376
Phone: (952) 985-1097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP3585 | Minnesota |
Profile Details
| NPI number | 1407954753 |
|---|---|
| LBN Legal business name | Jirak, Jan |
| Credentials | MALP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 10th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407954753 | NPPES |
| Minnesota | MEDICAID | 154319900 |
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