Panka, Jacob J
Panka, Jacob J is an individual health care provider with primary practice located at 3041 Aldrich Ave S , Minneapolis MN 55408. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Panka, Jacob J can be contacted via phone (612) 568-8382.Contact Information
Primary practice address
3041 Aldrich Ave S
Minneapolis MN 55408
Phone: (612) 568-8382
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Naturopath | 175F00000X | 1099 | Minnesota |
Profile Details
NPI number | 1104380880 |
---|---|
LBN Legal business name | Panka, Jacob J |
Credentials | N.D., M.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2019 |
Last updated | Sep 17th, 2019 - about 6 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 | 1104380880 | NPPES |
Minnesota | Other | 1099 | NATUROPATHIC DOCTOR |
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