Ellerbusch, Judith Marie
Ellerbusch, Judith Marie is an individual health care provider with primary practice located at 2277 Highway 36 W , Roseville MN 55113-3804. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ellerbusch, Judith Marie can be contacted via phone (651) 631-0065.Contact Information
Primary practice address
2277 Highway 36 W
Roseville MN 55113-3804
Phone: (651) 631-0065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R846552 | Minnesota |
Profile Details
| NPI number | 1801163928 |
|---|---|
| LBN Legal business name | Ellerbusch, Judith Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2011 |
| Last updated | Nov 17th, 2011 - about 14 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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