Dries, David J
Dries, David J is an individual health care provider with primary practice located at 401 Phalen Blvd Ms 41104A, Saint Paul MN 55130-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dries, David J can be contacted via phone (651) 254-7980.Contact Information
Primary practice address
401 Phalen Blvd Ms 41104A
Saint Paul MN 55130-5302
Phone: (651) 254-7980
Fax: (651) 254-7969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 41608 | Minnesota |
Profile Details
| NPI number | 1770558520 |
|---|---|
| LBN Legal business name | Dries, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Nov 27th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770558520 | NPPES |
| Minnesota | MEDICAID | 523319400 |
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