Julsrud, Jill M
Julsrud, Jill M is an sole proprietor health care provider with primary practice located at 470 W 78Th St , Chanhassen MN 55317-4524. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Julsrud, Jill M can be contacted via phone (952) 843-4300.Contact Information
Primary practice address
470 W 78Th St
Chanhassen MN 55317-4524
Phone: (952) 843-4300
Fax: (952) 843-4301
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 30269 | Minnesota |
Profile Details
NPI number | 1306811070 |
---|---|
LBN Legal business name | Julsrud, Jill M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2006 |
Last updated | Oct 18th, 2012 - about 12 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 | 1306811070 | NPPES |
Minnesota | MEDICAID | 749207300 |
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