Winter, Jacob
Winter, Jacob is an sole proprietor health care provider with primary practice located at 1011 Meadowlands Dr Ste 1&2 , White Bear Lake MN 55127-2339. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Winter, Jacob can be contacted via phone (612) 445-0300.Contact Information
Primary practice address
1011 Meadowlands Dr Ste 1&2
White Bear Lake MN 55127-2339
Phone: (612) 445-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1487250155 |
|---|---|
| LBN Legal business name | Winter, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2020 |
| Last updated | Dec 8th, 2020 - 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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