Carodenuto, Charles
Carodenuto, Charles is an sole proprietor health care provider with primary practice located at 15111 Twelve Oaks Center Dr , Minnetonka MN 55305-5201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carodenuto, Charles can be contacted via phone (952) 993-4550.Contact Information
Primary practice address
15111 Twelve Oaks Center Dr
Minnetonka MN 55305-5201
Phone: (952) 993-4550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29824 | Minnesota |
Profile Details
| NPI number | 1467439315 |
|---|---|
| LBN Legal business name | Carodenuto, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Oct 20th, 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 | 1467439315 | NPPES |
| Minnesota | MEDICAID | 559578900 |
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