Dennis, Jon E

Dennis, Jon E is an individual health care provider with primary practice located at 1900 Centracare Cir Suite #1300, Saint Cloud MN 56303-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dennis, Jon E can be contacted via phone (320) 654-3630.

Contact Information

Primary practice address
1900 Centracare Cir Suite #1300 Saint Cloud MN 56303-5000
Phone: (320) 654-3630
Fax: (320) 654-3657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24057 Minnesota

Profile Details

NPI number 1487645537
LBN Legal business name Dennis, Jon E
Credentials MD, MPH, FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 18 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 1487645537 NPPES
Other SHP50A90DE BLUE CROSS BLUE SHIELD
Other 556146 BLUE CROSS BLUE SHIELD
Other 254009 BLUE CROSS BLUE SHIELD
Other 110408 BLUE CROSS BLUE SHIELD
Other 1123622 BLUE CROSS BLUE SHIELD
Other 51A32DE BLUE CROSS BLUE SHIELD
Other 1202199 BLUE CROSS BLUE SHIELD
Other HP25415 BLUE CROSS BLUE SHIELD

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