Provider Demographics
NPI:1669456281
Name:HESS, JANE MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:MARIE
Last Name:HESS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:HESS
Other - Last Name:JASZEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:790 W 66TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2203
Mailing Address - Country:US
Mailing Address - Phone:612-352-5800
Mailing Address - Fax:612-352-5990
Practice Address - Street 1:790 W 66TH ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2203
Practice Address - Country:US
Practice Address - Phone:612-352-5800
Practice Address - Fax:612-352-5990
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN33725207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN942807100Medicaid
MN080012431Medicare PIN
MN080012429Medicare ID - Type Unspecified
MN942807100Medicaid
MNP00027655Medicare ID - Type Unspecified
MNE74506Medicare UPIN