Engelsgjerd, Mark
Engelsgjerd, Mark is an individual health care provider with primary practice located at 251 County Rd 120 , Saint Cloud MN 56303-4665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Engelsgjerd, Mark can be contacted via phone (320) 202-8949.Contact Information
Primary practice address
251 County Rd 120
Saint Cloud MN 56303-4665
Phone: (320) 202-8949
Fax: (320) 202-0756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 39768 | Minnesota |
Profile Details
| NPI number | 1063442622 |
|---|---|
| LBN Legal business name | Engelsgjerd, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 26th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063442622 | NPPES |
| Minnesota | MEDICAID | 775318700 |
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