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Contact Information

JACIE BLENKER
512 30TH AVE E STE 100
ALEXANDRIA, MN56308-5096
 Phone: 320-762-5411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JACIE BLENKER · (Female)

NPI Number 1588214506
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2019
Last updated 09/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
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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