Theisen, Jessica

Theisen, Jessica is an individual health care provider with primary practice located at 425 7Th St Nw , Cass Lake MN 56633-3360. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Theisen, Jessica can be contacted via phone (218) 335-3267.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake MN 56633-3360
Phone: (218) 335-3267
Fax: (218) 335-3352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 122351 Minnesota
Pharmacy Service Providers / Pharmacist 183500000X RPH5786 North Dakota

Profile Details

NPI number 1205369261
LBN Legal business name Theisen, Jessica
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Apr 6th, 2017 - about 7 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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