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Contact Information

JODINE L JANZEN, OD
120 1ST AVE E
CAMBRIDGE, MN55008-1209
 Phone: 763-689-1494
 Fax: 763-691-8395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for JODINE L JANZEN · (Female)

NPI # 1952396111
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/14/2005
Last updated 02/04/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2586
  • MN Medicaid 321025100
  • MN Other 64G67JA BLUECROSS BLUESHIELD
  • MN Other 2201810 MEDICA
  • MN Other 1014827 PREFERRED ONE
  • MN Other 410047970 RAILROAD MEDICARE
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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