Adam, George

Adam, George is an sole proprietor health care provider with primary practice located at 4500 Park Glen Road Suite 160, Saint Louis Park MN 55416-4888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Adam, George can be contacted via phone (952) 767-7771.

Contact Information

Primary practice address
4500 Park Glen Road Suite 160 Saint Louis Park MN 55416-4888
Phone: (952) 767-7771
Fax: (952) 767-7774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36061 Minnesota

Profile Details

NPI number 1386718765
LBN Legal business name Adam, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Apr 2nd, 2012 - about 13 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 1386718765 NPPES
Minnesota MEDICAID 227225300

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