Adams, Roderick
Adams, Roderick is an individual health care provider with primary practice located at 6500 Excelsior Blvd , St Louis Park MN 55426-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adams, Roderick can be contacted via phone (952) 993-5000.Contact Information
Primary practice address
6500 Excelsior Blvd
St Louis Park MN 55426-4702
Phone: (952) 993-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44888 | Minnesota |
Profile Details
NPI number | 1659345619 |
---|---|
LBN Legal business name | Adams, Roderick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Mar 9th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659345619 | NPPES |
Minnesota | MEDICAID | 177798000 |
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