Braaten, Mary Margaret
Braaten, Mary Margaret is an individual health care provider with primary practice located at 1025 10Th Ave Ne , Deer River MN 56636-8703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Braaten, Mary Margaret can be contacted via phone (218) 246-8275.Contact Information
Primary practice address
1025 10Th Ave Ne
Deer River MN 56636-8703
Phone: (218) 246-8275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45933 | Minnesota |
Profile Details
| NPI number | 1861568024 |
|---|---|
| LBN Legal business name | Braaten, Mary Margaret |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | May 6th, 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 | 1861568024 | NPPES |
| Minnesota | MEDICAID | 874699100 |
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