Mclister, Jared Matthew

Mclister, Jared Matthew is an individual health care provider with primary practice located at 111 17Th Ave E Ste 101, Alexandria MN 56308-3734. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mclister, Jared Matthew can be contacted via phone (320) 762-1144.

Contact Information

Primary practice address
111 17Th Ave E Ste 101 Alexandria MN 56308-3734
Phone: (320) 762-1144
Fax: (320) 762-1935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4316-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10698 Minnesota

Profile Details

NPI number 1679805105
LBN Legal business name Mclister, Jared Matthew
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2010
Last updated Mar 7th, 2023 - about 2 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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