NPI 1013864362

Jeremy Hollingsworth

Practitioner Home Modifications Contractor Lakeville, MN

Practice location

Address: 8200 190th St W, Lakeville, MN 55044-7858
Phone: (952) 210-4881

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence QB691092 (MN)

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Registry record

NPI: 1013864362
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2026
Record last updated: 16 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.