Poppinga, Jacob R
Poppinga, Jacob R is an sole proprietor health care provider with primary practice located at 13045 Falcon Dr Ste 7404Th , Baxter MN 56425-4201. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Poppinga, Jacob R can be contacted via phone (218) 821-4538.Contact Information
Primary practice address
13045 Falcon Dr Ste 7404Th
Baxter MN 56425-4201
Phone: (218) 821-4538
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305402 | Minnesota |
Profile Details
| NPI number | 1417556762 |
|---|---|
| LBN Legal business name | Poppinga, Jacob R |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2020 |
| Last updated | Oct 19th, 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.
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