Colbert, Mary E

Colbert, Mary E is an individual health care provider with primary practice located at 3900 Park Nicollet Blvd , St Louis Park MN 55416-2503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Colbert, Mary E can be contacted via phone (952) 993-3180.

Contact Information

Primary practice address
3900 Park Nicollet Blvd St Louis Park MN 55416-2503
Phone: (952) 993-3180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36783 Minnesota

Profile Details

NPI number 1184601171
LBN Legal business name Colbert, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Mar 1st, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184601171 NPPES
Minnesota MEDICAID 631259400

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