Ito, Mari B
Ito, Mari B is an individual health care provider with primary practice located at 9055 Springbrook Dr Nw Urgency Care, Coon Rapids MN 55433-5841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ito, Mari B can be contacted via phone (763) 236-7144.Contact Information
Primary practice address
9055 Springbrook Dr Nw Urgency Care
Coon Rapids MN 55433-5841
Phone: (763) 236-7144
Fax: (763) 236-7733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 33781 | Minnesota |
Profile Details
| NPI number | 1467429621 |
|---|---|
| LBN Legal business name | Ito, Mari B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 23rd, 2015 - about 9 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 | 1467429621 | NPPES |
| Minnesota | MEDICAID | 539500300 | |
| Minnesota | Other | 33781 |
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