Kerr, James A
Kerr, James A is an sole proprietor health care provider with primary practice located at 7501 80Th St S Ste 214 , Cottage Grove MN 55016-6063. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kerr, James A can be contacted via phone (651) 459-2300.Contact Information
Primary practice address
7501 80Th St S Ste 214
Cottage Grove MN 55016-6063
Phone: (651) 459-2300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 5462 | Wisconsin |
Dental Providers / General Practice | 1223G0001X | 11505 | Minnesota |
Profile Details
NPI number | 1750504619 |
---|---|
LBN Legal business name | Kerr, James A |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 10th, 2007 |
Last updated | Dec 10th, 2020 - about 4 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 | 1750504619 | NPPES |
Wisconsin | MEDICAID | 33798100 |
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