Engelbrekt, Martha Ruth
Engelbrekt, Martha Ruth is an individual health care provider with primary practice located at 14001 Ridgedale Dr Suite 100, Minnetonka MN 55305-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Engelbrekt, Martha Ruth can be contacted via phone (952) 473-0211.Contact Information
Primary practice address
14001 Ridgedale Dr Suite 100
Minnetonka MN 55305-1753
Phone: (952) 473-0211
Fax: (952) 473-7908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 47901 | Minnesota |
Profile Details
NPI number | 1447222963 |
---|---|
LBN Legal business name | Engelbrekt, Martha Ruth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2006 |
Last updated | Aug 9th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447222963 | NPPES |
Minnesota | MEDICAID | 283607600 |
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