Beebe, Johanna Dijkstal

Beebe, Johanna Dijkstal is an individual health care provider with primary practice located at 3900 Park Nicollet Blvd , St Louis Park MN 55416-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Beebe, Johanna Dijkstal can be contacted via phone (952) 993-3150.

Contact Information

Primary practice address
3900 Park Nicollet Blvd St Louis Park MN 55416-2503
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R-9642 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 62075 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD-43469 Iowa

Profile Details

NPI number 1093073868
LBN Legal business name Beebe, Johanna Dijkstal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2012
Last updated Jan 8th, 2024 - about last year

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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