Keifert, Jeanette I
Keifert, Jeanette I is an individual health care provider with primary practice located at 8325 City Centre Dr , Woodbury MN 55125-3605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Keifert, Jeanette I can be contacted via phone (651) 731-0859.Contact Information
Primary practice address
8325 City Centre Dr
Woodbury MN 55125-3605
Phone: (651) 731-0859
Fax: (651) 731-0976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32666 | Minnesota |
Profile Details
| NPI number | 1720053929 |
|---|---|
| LBN Legal business name | Keifert, Jeanette I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Oct 14th, 2011 - about 13 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 | 1720053929 | NPPES |
| Minnesota | MEDICAID | 596807100 |
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