Ekberg, Paul Andrew

Ekberg, Paul Andrew is an individual health care provider with primary practice located at 4027 County Road 25 , St Louis Park MN 55416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ekberg, Paul Andrew can be contacted via phone (612) 925-6033.

Contact Information

Primary practice address
4027 County Road 25 St Louis Park MN 55416
Phone: (612) 925-6033
Fax: (612) 925-8496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 38807 Minnesota

Profile Details

NPI number 1477531960
LBN Legal business name Ekberg, Paul Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 28th, 2018 - about 6 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 1477531960 NPPES
Minnesota MEDICAID 738714800
Minnesota Other H400378386

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