Dearholt-Winckler, Paula C

Dearholt-Winckler, Paula C is an individual health care provider with primary practice located at 671 Vandalia St , Saint Paul MN 55114-1312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Dearholt-Winckler, Paula C can be contacted via phone (218) 368-2798.

Contact Information

Primary practice address
671 Vandalia St Saint Paul MN 55114-1312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R124952-7 Minnesota

Profile Details

NPI number 1194895888
LBN Legal business name Dearholt-Winckler, Paula C
Credentials RN, WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 2nd, 2023 - about 2 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 1194895888 NPPES
Other 29076 SIOUX VALLEY PROV ID
Other 68G08DE SIOUX VALLEY PROV ID
Other 1068173 SIOUX VALLEY PROV ID
Other HP26447 SIOUX VALLEY PROV ID
MEDICAID 666420200 SIOUX VALLEY PROV ID
Other 1016947 SIOUX VALLEY PROV ID
Other 07-00637 SIOUX VALLEY PROV ID
Other 122972 SIOUX VALLEY PROV ID

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