Bobeldyk, Gerard L
Bobeldyk, Gerard L is an individual health care provider with primary practice located at 16472 Laurel Rd , St Joseph MN 56374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bobeldyk, Gerard L can be contacted via phone (320) 252-5131.Contact Information
Primary practice address
16472 Laurel Rd
St Joseph MN 56374
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26110 | Minnesota |
Profile Details
NPI number | 1265429542 |
---|---|
LBN Legal business name | Bobeldyk, Gerard L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2005 |
Last updated | Sep 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265429542 | NPPES |
Other | 6D057BO | BLUE CROSS BLUE SHIELD | |
Other | 110104504 | BLUE CROSS BLUE SHIELD | |
Other | 986003 | BLUE CROSS BLUE SHIELD | |
Other | HP22731 | BLUE CROSS BLUE SHIELD | |
Other | 600903 | BLUE CROSS BLUE SHIELD | |
Other | 2114072 | BLUE CROSS BLUE SHIELD | |
Other | 0400499 | BLUE CROSS BLUE SHIELD | |
Other | 110893 | BLUE CROSS BLUE SHIELD | |
Other | 037802000 | BLUE CROSS BLUE SHIELD |
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