Irwin, Eric David

Irwin, Eric David is an individual health care provider with primary practice located at 2545 Chicago Ave Suite 601, Minneapolis MN 55404-4522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Irwin, Eric David can be contacted via phone (612) 863-7770.

Contact Information

Primary practice address
2545 Chicago Ave Suite 601 Minneapolis MN 55404-4522
Fax: (612) 863-7772
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31543 Minnesota

Profile Details

NPI number 1184731226
LBN Legal business name Irwin, Eric David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 9th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184731226 NPPES
Other 1700904 MEDICA
MEDICAID 612398800 MEDICA
MEDICAID 32143500 MEDICA
Other P009183 MEDICA
Other 258T81R MEDICA

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