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
Phone: (612) 863-7770
Fax: (612) 863-7772
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184731226 | NPPES |
Other | 1700904 | MEDICA | |
MEDICAID | 612398800 | MEDICA | |
MEDICAID | 32143500 | MEDICA | |
Other | P009183 | MEDICA | |
Other | 258T81R | MEDICA |
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