IndividualActive
Jeremy Hollingsworth
NPI 1013864362 · Home Modifications Contractor · Lakeville, MN
Provider details
- NPI number
- 1013864362
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- QB691092 (MN)
Mailing address
8200 190th St W
Lakeville, MN 55044-7858
Registry dates
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.