Gerdes, Jodi Danielle
Gerdes, Jodi Danielle is an individual health care provider with primary practice located at 225 Smith Ave N Ste 500 , Saint Paul MN 55102-2545. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Gerdes, Jodi Danielle can be contacted via phone (651) 292-0007.Contact Information
Primary practice address
225 Smith Ave N Ste 500
Saint Paul MN 55102-2545
Phone: (651) 292-0007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 51623 | Tennessee |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 71331 | Minnesota |
Profile Details
| NPI number | 1033313127 |
|---|---|
| LBN Legal business name | Gerdes, Jodi Danielle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jun 15th, 2022 - about 2 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 | 1033313127 | NPPES |
| Tennessee | Other | 6086635 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | Q009383 | BLUE CROSS BLUE SHIELD |
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