Adkisson, Constance A

Adkisson, Constance A is an individual health care provider with primary practice located at 701 Park Ave Hcmc G-7, Minneapolis MN 55415-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Adkisson, Constance A can be contacted via phone (612) 873-2686.

Contact Information

Primary practice address
701 Park Ave Hcmc G-7 Minneapolis MN 55415-1623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 36452 Minnesota

Profile Details

NPI number 1710935655
LBN Legal business name Adkisson, Constance A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 31st, 2011 - 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 1710935655 NPPES
Minnesota MEDICAID 318763200
Minnesota Other 370003388

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