Etzell, Paul S

Etzell, Paul S is an individual health care provider with primary practice located at 712 South Cascade Street , Fergus Falls MN 56537-2813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Etzell, Paul S can be contacted via phone (218) 736-8000.

Contact Information

Primary practice address
712 South Cascade Street Fergus Falls MN 56537-2813
Phone: (218) 736-8000
Fax: (218) 736-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 17327 Minnesota

Profile Details

NPI number 1063422343
LBN Legal business name Etzell, Paul S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 9th, 2010 - about 15 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 1063422343 NPPES
Nebraska MEDICAID 41091744413
Nebraska MEDICAID 12234
Nebraska Other 36-00025
Nebraska Other HP10403
Nebraska Other 41-0917444
Nebraska Other 0896037
Nebraska Other 123436
Nebraska MEDICAID 129768600
Nebraska Other 11Q47ET

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