Samuelson, Jacqueline M

Samuelson, Jacqueline M is an individual health care provider with primary practice located at 1961 Premier Dr Ste 330 , Mankato MN 56001-6494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Samuelson, Jacqueline M can be contacted via phone (507) 420-4681.

Contact Information

Primary practice address
1961 Premier Dr Ste 330 Mankato MN 56001-6494
Phone: (507) 420-4681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972743391
LBN Legal business name Samuelson, Jacqueline M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2009
Last updated Apr 28th, 2015 - about 10 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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