Dr. Jacob J Panka
Naturopath
3041 Aldrich Ave S
Minneapolis
, Minnesota 55408
Dr. Jacob J Panka
Naturopath
3041 Aldrich Ave S
Minneapolis
, Minnesota 55408
(612) 568-8382
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Jacob J Panka
- 33 6th Ave N Apt 316
- Hopkins, MN
- Zip : 55343-1630
- Phone : (612) 568-8382
Second Address
- Dr. Jacob J Panka
- 3041 Aldrich Ave S
- Minneapolis, MN
- Zip : 55408
- Phone : (612) 568-8382
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 1099 | MN |
National Provider Identifier
| NPI | 1104380880 |
|---|---|
| Provider Name | Dr. Jacob J Panka |
| First Address | Hopkins, MN 55343-1630 |
| Second Address | Minneapolis, MN 55408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2019 |
| Last Update Date | 17/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1099 | NATUROPATHIC DOCTOR (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.