Jungbluth, Monica A
Jungbluth, Monica A is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Jungbluth, Monica A can be contacted via phone (612) 873-2370.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 08440 | Minnesota |
Profile Details
| NPI number | 1275586034 |
|---|---|
| LBN Legal business name | Jungbluth, Monica A |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 20th, 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 | 1275586034 | NPPES |
| Minnesota | MEDICAID | 015718000 |
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