Dorman, Walter Hollifield

Dorman, Walter Hollifield is an individual health care provider with primary practice located at 7600 France Ave S Ste 5100 , Edina MN 55435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Dorman, Walter Hollifield can be contacted via phone (952) 893-1959.

Contact Information

Primary practice address
7600 France Ave S Ste 5100 Edina MN 55435
Phone: (952) 893-1959
Fax: (952) 893-1954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 21028 Minnesota

Profile Details

NPI number 1902800873
LBN Legal business name Dorman, Walter Hollifield
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 18th, 2020 - about 4 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 1902800873 NPPES
Minnesota Other 3200021 MEDICA
Minnesota Other 106158C477 MEDICA
Minnesota MEDICAID 685592000 MEDICA
Minnesota Other 965162 MEDICA
Minnesota Other HP13178 MEDICA
Minnesota Other 66Q38DO MEDICA
Minnesota Other 24909 MEDICA
Minnesota Other 411774839A002 MEDICA
Minnesota Other 660003751 MEDICA
Minnesota Other 960080460002 MEDICA

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