Crider, Mitchell Harris
Crider, Mitchell Harris is an individual health care provider with primary practice located at 2800 Campus Dr Ste 10 , Plymouth MN 55441-8812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Crider, Mitchell Harris can be contacted via phone (763) 559-2171.Contact Information
Primary practice address
2800 Campus Dr Ste 10
Plymouth MN 55441-8812
Phone: (763) 559-2171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 49502 | Minnesota |
Profile Details
| NPI number | 1306980875 |
|---|---|
| LBN Legal business name | Crider, Mitchell Harris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2007 |
| Last updated | Feb 28th, 2023 - about last year |
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 | 1306980875 | NPPES |
| Minnesota | Other | P00864018 | RAILROAD MEDICARE |
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