Wiersma, Jacquelyn K.
Wiersma, Jacquelyn K. is an individual health care provider with primary practice located at 3931 Auburn Dr , Minnetonka MN 55305-5196. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wiersma, Jacquelyn K. can be contacted via phone (952) 938-9499.Contact Information
Primary practice address
3931 Auburn Dr
Minnetonka MN 55305-5196
Phone: (952) 938-9499
Fax: (952) 938-9499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1583 | Minnesota |
Profile Details
| NPI number | 1386757300 |
|---|---|
| LBN Legal business name | Wiersma, Jacquelyn K. |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 3rd, 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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