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
Fax: (952) 843-4301
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306811070 NPPES
Minnesota MEDICAID 749207300

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