Easley, Judy A.
Easley, Judy A. is an individual health care provider with primary practice located at 550 Osborne Rd Ne Rt. 52840, Fridley MN 55432-2718. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Easley, Judy A. can be contacted via phone (763) 236-5000.Contact Information
Primary practice address
550 Osborne Rd Ne Rt. 52840
Fridley MN 55432-2718
Phone: (763) 236-5000
Fax: (763) 236-3524
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32028 | Minnesota |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 32028 | Minnesota |
Profile Details
NPI number | 1932168754 |
---|---|
LBN Legal business name | Easley, Judy A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2006 |
Last updated | May 20th, 2021 - about 3 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 | 1932168754 | NPPES |
Minnesota | Other | 1031906 | PREFERRED ONE |
Minnesota | Other | 523P9EA | PREFERRED ONE |
Minnesota | Other | 142167 | PREFERRED ONE |
Minnesota | Other | 04-07812 | PREFERRED ONE |
Minnesota | Other | 2443412 | PREFERRED ONE |
Minnesota | MEDICAID | 830707500 | PREFERRED ONE |
Minnesota | Other | HP10369 | PREFERRED ONE |
Minnesota | Other | 0408822 | PREFERRED ONE |
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