Hasley, Ike Burns
Hasley, Ike Burns is an individual health care provider with primary practice located at 4123 Radio Dr Ste 200 , Woodbury MN 55129-3303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hasley, Ike Burns can be contacted via phone (651) 968-5201.Contact Information
Primary practice address
4123 Radio Dr Ste 200
Woodbury MN 55129-3303
Phone: (651) 968-5201
Fax: (651) 968-5903
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 66225 | Minnesota |
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 66225 | Minnesota |
Profile Details
NPI number | 1942794540 |
---|---|
LBN Legal business name | Hasley, Ike Burns |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2018 |
Last updated | Aug 1st, 2023 - 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.
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