Ayalew, Assefa

Ayalew, Assefa is an individual health care provider with primary practice located at 2355 Highway 36 W Ste 100 , Roseville MN 55113-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ayalew, Assefa can be contacted via phone (651) 292-0000.

Contact Information

Primary practice address
2355 Highway 36 W Ste 100 Roseville MN 55113-3905
Phone: (651) 292-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D85446 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 58291 Minnesota

Profile Details

NPI number 1912240235
LBN Legal business name Ayalew, Assefa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2013
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912240235 NPPES
Minnesota Other 1912240235 NPI
Minnesota Other D85446 NPI

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