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
Phone: (952) 993-3150
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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