Farmer, Charlotte Mae
Farmer, Charlotte Mae is an individual health care provider with primary practice located at 2828 Chicago Ave Ste 200, Minneapolis MN 55407-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Farmer, Charlotte Mae can be contacted via phone (612) 879-1000.Contact Information
Primary practice address
2828 Chicago Ave Ste 200
Minneapolis MN 55407-1544
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | R0642400 | Minnesota |
Profile Details
NPI number | 1134125560 |
---|---|
LBN Legal business name | Farmer, Charlotte Mae |
Credentials | RN, MA, CNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Dec 14th, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134125560 | NPPES |
Minnesota | MEDICAID | 697077000 |
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