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NPI 1013864362

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)

Practice location

8200 190th St W

Lakeville, MN 55044-7858

Phone: (952) 210-4881

More MN providers

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.

Jeremy Hollingsworth — NPI 1013864362, Lakeville, MN | NPI Central