Eldidy, Rene

Eldidy, Rene is an individual health care provider with primary practice located at 20 9Th St Se Centracare Health System - Long Prairie, Long Prairie MN 56347-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eldidy, Rene can be contacted via phone (320) 732-2131.

Contact Information

Primary practice address
20 9Th St Se Centracare Health System - Long Prairie Long Prairie MN 56347-1404
Phone: (320) 732-2131
Fax: (320) 732-6913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36275 Minnesota

Profile Details

NPI number 1457342032
LBN Legal business name Eldidy, Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jan 7th, 2013 - about 11 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 1457342032 NPPES
Other 1006863 PREFERRED ONE
Other 54Q39EL PREFERRED ONE
Other 108065200 PREFERRED ONE
Other C11369 PREFERRED ONE
Other HP27075 PREFERRED ONE
Other 080128013 PREFERRED ONE
Other 115064 PREFERRED ONE
Other 0128951 PREFERRED ONE
Other 638516 PREFERRED ONE

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