John S Jakala in St Louis Park - Physician Assistant
John S Jakala - NPI 1356325997
John S Jakala is a Physician Assistant in St Louis Park, Minnesota. John S Jakala practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John S Jakala is 1356325997. The last update date is 2008-05-30.
John S Jakala's current location address is 6490 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529933123. The mailing address for John S Jakala is 6490 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John S Jakala |
|---|---|
| Address | 6490 Excelsior Blvd, St Louis Park, Minnesota |
| Phone Number | 9529933123 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1356325997 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 6490 Excelsior Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554264705 |
| Phone Number | 9529933123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8835 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253605600 | MN | -- |
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What is the unique identification code assigned to John S Jakala by the Centers for Medicare & Medicaid Services?
The John S Jakala has been issued the NPI (National Provider Identifier) 1356325997. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John S Jakala located?
The John S Jakala is located at 6490 Excelsior Blvd, St Louis Park, MN 554264705.
What is the John S Jakala's area of specialization and corresponding taxonomy classification?
The John S Jakala's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did John S Jakala receive its 1356325997 assignment?
The John S Jakala was assigned its 1356325997 on 2005-12-06, which is the date when this unique identifier was issued to the organization.
When was the John S Jakala's information last updated?
The John S Jakala's information was last updated on 2008-05-30.