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Contact Information

JENNIE HARRIS
1570 ADAMS ST
MANKATO, MN56001-5192
 Phone: 507-386-0288
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for JENNIE HARRIS · (Female)

NPI # 1124489224
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2016
Last updated 05/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # D14291
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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