Baissa-Tesfahun, Demitu
Baissa-Tesfahun, Demitu is an sole proprietor health care provider with primary practice located at 14181 Business Center Dr Nw , Elk River MN 55330-4654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baissa-Tesfahun, Demitu can be contacted via phone (763) 236-0500.Contact Information
Primary practice address
14181 Business Center Dr Nw
Elk River MN 55330-4654
Phone: (763) 236-0500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9305 | Minnesota |
Profile Details
NPI number | 1477287282 |
---|---|
LBN Legal business name | Baissa-Tesfahun, Demitu |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 16th, 2022 |
Last updated | Oct 17th, 2022 - about 2 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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