Dombrock, Claire J

Dombrock, Claire J is an individual health care provider with primary practice located at 1055 Westgate Dr Ste 100 , Saint Paul MN 55114-1451. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dombrock, Claire J can be contacted via phone (612) 262-7800.

Contact Information

Primary practice address
1055 Westgate Dr Ste 100 Saint Paul MN 55114-1451
Phone: (612) 262-7800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 878 Minnesota

Profile Details

NPI number 1609978584
LBN Legal business name Dombrock, Claire J
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Feb 19th, 2019 - about 5 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 1609978584 NPPES
Minnesota MEDICAID 887955900

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