Abols-Mantyh, Ingrid

Abols-Mantyh, Ingrid is an individual health care provider with primary practice located at 675 E Nicollet Blvd Suite 100, Burnsville MN 55337-6749. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Abols-Mantyh, Ingrid can be contacted via phone (952) 435-8516.

Contact Information

Primary practice address
675 E Nicollet Blvd Suite 100 Burnsville MN 55337-6749
Fax: (763) 302-4336
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29023 Minnesota

Profile Details

NPI number 1487607495
LBN Legal business name Abols-Mantyh, Ingrid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487607495 NPPES
Minnesota Other 100274C029 UCARE
Minnesota MEDICAID 31534800 UCARE
Minnesota Other HP12761 UCARE
Minnesota Other 130004283 UCARE
Minnesota Other 19364AB UCARE
Minnesota Other 22665 UCARE
Minnesota MEDICAID 9040978000 UCARE
Minnesota Other 0265035 UCARE
Minnesota Other 0517222 UCARE

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