Engebretson, Sally H

Engebretson, Sally H is an individual health care provider with primary practice located at 15655 37Th Ave N Ste 100 , Plymouth MN 55446-4003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Engebretson, Sally H can be contacted via phone (763) 587-7900.

Contact Information

Primary practice address
15655 37Th Ave N Ste 100 Plymouth MN 55446-4003
Fax: (763) 587-7701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43959 Minnesota

Profile Details

NPI number 1316900590
LBN Legal business name Engebretson, Sally H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Nov 7th, 2022 - about 4 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 1316900590 NPPES
Minnesota MEDICAID 532434300

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