Jacob Van Allen, LADC

NPI 1801631767 · on the registry since 2024 · sole proprietor

Practice

Address: 1811 Weir Dr Ste 270
Woodbury, MN 55125
Phone: (651) 714-9646
Fax: (651) 714-9647
Organisation at this address: Genoa Healthcare Llc
Platinum Homecare, Llc
Lindahl Family Dental Pa
Abode Hospice And Homecare Of Mn, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 111

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota