Schultz, Jason Dean

Schultz, Jason Dean is an individual health care provider with primary practice located at 320 Coon Rapids Blvd Nw Ste 100 , Coon Rapids MN 55433-5640. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Schultz, Jason Dean can be contacted via phone (763) 201-8191.

Contact Information

Primary practice address
320 Coon Rapids Blvd Nw Ste 100 Coon Rapids MN 55433-5640
Phone: (763) 201-8191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102313 Minnesota

Profile Details

NPI number 1144260720
LBN Legal business name Schultz, Jason Dean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated May 13th, 2021 - about 3 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 1144260720 NPPES
Minnesota MEDICAID 365408700

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