Jude, Jennifer Jane
Jude, Jennifer Jane is an individual health care provider with primary practice located at 119 Ne First Street Ste 4, Little Falls MN 56345. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jude, Jennifer Jane can be contacted via phone (320) 632-6621.Contact Information
Primary practice address
119 Ne First Street Ste 4
Little Falls MN 56345
Phone: (320) 632-6621
Fax: (320) 632-1829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D11546 | Minnesota |
Profile Details
| NPI number | 1295703007 |
|---|---|
| LBN Legal business name | Jude, Jennifer Jane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1295703007 | NPPES |
| Other | 1265 | HEALTH PARTNERS | |
| Other | 812989 | HEALTH PARTNERS | |
| Other | 85320FA | HEALTH PARTNERS |
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