Engdahl, Alyssa

Engdahl, Alyssa is an individual health care provider with primary practice located at 5655 W 35Th St , St Louis Park MN 55416-2460. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Engdahl, Alyssa can be contacted via phone (612) 432-4091.

Contact Information

Primary practice address
5655 W 35Th St St Louis Park MN 55416-2460
Phone: (612) 432-4091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 104949 Minnesota

Profile Details

NPI number 1659745156
LBN Legal business name Engdahl, Alyssa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2015
Last updated Nov 20th, 2015 - about 9 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 1659745156 NPPES
Minnesota Other 104949 OT LICENSE

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