Emblom, John W

Emblom, John W is an individual health care provider with primary practice located at 610 30Th Avenue West Alexandria Clinic, Alexandria MN 56308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Emblom, John W can be contacted via phone (320) 763-5123.

Contact Information

Primary practice address
610 30Th Avenue West Alexandria Clinic Alexandria MN 56308
Phone: (320) 763-5123
Fax: (320) 763-7883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27767 Minnesota

Profile Details

NPI number 1982684395
LBN Legal business name Emblom, John W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982684395 NPPES
Minnesota MEDICAID 698393600
Minnesota Other 110163853

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