Luck, Jeanne Louise
Luck, Jeanne Louise is an sole proprietor health care provider with primary practice located at 8290 University Ave Ne Suite 200, Fridley MN 55432-1847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Luck, Jeanne Louise can be contacted via phone (763) 786-9543.Contact Information
Primary practice address
8290 University Ave Ne Suite 200
Fridley MN 55432-1847
Phone: (763) 786-9543
Fax: (763) 786-3320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R105398-8 | Minnesota |
Profile Details
| NPI number | 1093733768 |
|---|---|
| LBN Legal business name | Luck, Jeanne Louise |
| Credentials | RN, MSN, CFNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 10th, 2007 - about 17 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 | 1093733768 | NPPES |
| Other | 134K1LU | BLUECROSS BLUESHIELD | |
| Other | 114567 | BLUECROSS BLUESHIELD | |
| Other | 969991017871 | BLUECROSS BLUESHIELD | |
| Other | HP30388 | BLUECROSS BLUESHIELD | |
| Other | 123231E949 | BLUECROSS BLUESHIELD | |
| MEDICAID | 941319700 | BLUECROSS BLUESHIELD |
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