Chen, Greta B
Chen, Greta B is an individual health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Chen, Greta B can be contacted via phone (952) 993-1440.Contact Information
Primary practice address
9555 Upland Ln N
Maple Grove MN 55369-4485
Phone: (952) 993-1440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43875 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43875 | Minnesota |
Profile Details
NPI number | 1710964705 |
---|---|
LBN Legal business name | Chen, Greta B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2005 |
Last updated | Mar 8th, 2016 - about 8 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 | 1710964705 | NPPES |
Minnesota | MEDICAID | 687647100 |
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