Deones, Gloria Elaine

Deones, Gloria Elaine is an individual health care provider with primary practice located at 715 E 78Th St , Bloomington MN 55420-1397. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deones, Gloria Elaine can be contacted via phone (612) 873-7644.

Contact Information

Primary practice address
715 E 78Th St Bloomington MN 55420-1397
Phone: (612) 873-7644
Fax: (952) 854-1272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01220 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10877 Minnesota

Profile Details

NPI number 1174728331
LBN Legal business name Deones, Gloria Elaine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jan 23rd, 2012 - about 13 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 1174728331 NPPES
Oregon MEDICAID 005952

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