Hendrickson, Paul L

Hendrickson, Paul L is an individual health care provider with primary practice located at 1027 Washington Ave , Detroit Lakes MN 56501-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hendrickson, Paul L can be contacted via phone (218) 847-5611.

Contact Information

Primary practice address
1027 Washington Ave Detroit Lakes MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 032152 Minnesota

Profile Details

NPI number 1679514210
LBN Legal business name Hendrickson, Paul L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 21st, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679514210 NPPES
Minnesota Other 2223 SIOUX VALLEY #
Minnesota Other 28232HE SIOUX VALLEY #
Minnesota Other MN1000020 SIOUX VALLEY #
Minnesota Other 901108 SIOUX VALLEY #
Minnesota MEDICAID 300793600 SIOUX VALLEY #
Minnesota Other 0106054 SIOUX VALLEY #
Minnesota Other 10440 SIOUX VALLEY #
Minnesota Other 108034 SIOUX VALLEY #
Minnesota Other HP19489 SIOUX VALLEY #
Minnesota Other 0106545 SIOUX VALLEY #
Minnesota MEDICAID 16005 SIOUX VALLEY #
Minnesota Other DA9031015654 SIOUX VALLEY #

Popular Providers