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:
Health care specialties
| Specialty | Code | License # | 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 9 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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