Churchill, Jane M

Churchill, Jane M is an sole proprietor health care provider with primary practice located at 600 Pleasant Ave S , Park Rapids MN 56470-1431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Churchill, Jane M can be contacted via phone (218) 732-3311.

Contact Information

Primary practice address
600 Pleasant Ave S Park Rapids MN 56470-1431
Fax: (218) 732-1368
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18982 Minnesota

Profile Details

NPI number 1518987122
LBN Legal business name Churchill, Jane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated May 20th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518987122 NPPES
Minnesota MEDICAID 667368600

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