Sassenfeld, Jane R

Sassenfeld, Jane R is an individual health care provider with primary practice located at 2810 Nicollet Ave , Minneapolis MN 55408-4708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Sassenfeld, Jane R can be contacted via phone (612) 873-6005.

Contact Information

Primary practice address
2810 Nicollet Ave Minneapolis MN 55408-4708
Phone: (612) 873-6005
Fax: (612) 630-8242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R-1499704 Minnesota

Profile Details

NPI number 1922054402
LBN Legal business name Sassenfeld, Jane R
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Oct 5th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922054402 NPPES
Minnesota MEDICAID 981472800
Minnesota Other 40D85HA
Minnesota Other 07-02029

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