Dassenko, David A

Dassenko, David A is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Dassenko, David A can be contacted via phone (612) 813-6000.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 25521 Minnesota

Profile Details

NPI number 1104865716
LBN Legal business name Dassenko, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 27th, 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 1104865716 NPPES
Minnesota MEDICAID 983267000

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