Pakkala, Jade

Pakkala, Jade is an individual health care provider with primary practice located at 1905 2Nd St Se Ste 1B , Minot ND 58701-6566. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Pakkala, Jade can be contacted via phone (701) 838-7800.

Contact Information

Primary practice address
1905 2Nd St Se Ste 1B Minot ND 58701-6566
Phone: (701) 838-7800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 00000 North Dakota

Profile Details

NPI number 1225633530
LBN Legal business name Pakkala, Jade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2020
Last updated Dec 10th, 2020 - about 5 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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