Dennis, Karl M

Dennis, Karl M is an individual health care provider with primary practice located at 2090 Woodwinds Dr , Woodbury MN 55125. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Dennis, Karl M can be contacted via phone (651) 968-5801.

Contact Information

Primary practice address
2090 Woodwinds Dr Woodbury MN 55125
Phone: (651) 968-5801
Fax: (651) 968-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9979 Minnesota

Profile Details

NPI number 1205805850
LBN Legal business name Dennis, Karl M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 26th, 2009 - about 15 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 1205805850 NPPES
Minnesota MEDICAID 221054100

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