Kanter, Jeannie D

Kanter, Jeannie D is an individual health care provider with primary practice located at 1110 Yankee Doodle Rd , Eagan MN 55121-2092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kanter, Jeannie D can be contacted via phone (651) 454-3970.

Contact Information

Primary practice address
1110 Yankee Doodle Rd Eagan MN 55121-2092
Phone: (651) 454-3970
Fax: (551) 241-0059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0849083 Minnesota

Profile Details

NPI number 1215999768
LBN Legal business name Kanter, Jeannie D
Credentials RN, CNP, AE-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated May 8th, 2013 - about 11 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 1215999768 NPPES
Minnesota MEDICAID 142227800

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