Idelkope, Bruce Ira
Idelkope, Bruce Ira is an individual health care provider with primary practice located at 3400 W 66Th St Suite 150, Edina MN 55435-2109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Idelkope, Bruce Ira can be contacted via phone (952) 920-7200.Contact Information
Primary practice address
3400 W 66Th St Suite 150
Edina MN 55435-2109
Phone: (952) 920-7200
Fax: (763) 302-4234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 22536 | Minnesota |
Profile Details
| NPI number | 1083661680 |
|---|---|
| LBN Legal business name | Idelkope, Bruce Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Dec 2nd, 2011 - about 13 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 | 1083661680 | NPPES |
| Minnesota | Other | 130005771 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 30203900 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 489092200 | RAILROAD MEDICARE |
| Minnesota | Other | 0265008 | RAILROAD MEDICARE |
| Minnesota | Other | 100288C029 | RAILROAD MEDICARE |
| Minnesota | Other | HP13585 | RAILROAD MEDICARE |
| Minnesota | Other | 25828 | RAILROAD MEDICARE |
| Minnesota | Other | 0501641 | RAILROAD MEDICARE |
| Minnesota | Other | 07620ID | RAILROAD MEDICARE |
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