Smetanka, Joy M

Smetanka, Joy M is an sole proprietor health care provider with primary practice located at 6939 Pine Arbor Dr S Ste 100 , Cottage Grove MN 55016-4643. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Smetanka, Joy M can be contacted via phone (651) 326-5800.

Contact Information

Primary practice address
6939 Pine Arbor Dr S Ste 100 Cottage Grove MN 55016-4643
Phone: (651) 326-5800
Fax: (651) 326-5802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 1928 Minnesota

Profile Details

NPI number 1881638054
LBN Legal business name Smetanka, Joy M
Credentials RD, LD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated May 19th, 2019 - about 5 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 1881638054 NPPES
Minnesota MEDICAID 1881638054
Minnesota Other 1881638054

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