Jerrol Noller Md Ltd

LBN: Jerrol Noller Md Ltd
Jerrol Noller Md Ltd is an health care organization with primary practice located at 3863 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2518. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Jerrol Noller Md Ltd can be contacted via phone (763) 433-8300, or through Noller, Jerrol Jay via phone (763) 427-6897.

Contact Information

Primary practice address
3863 Coon Rapids Blvd Nw Coon Rapids MN 55433-2518
Phone: (763) 433-8300
Fax: (763) 433-8308
Website:
Map and Directions
Authorized official contact:
Name: Noller, Jerrol Jay Doctor of Medicine (MD)
Phone: (763) 427-6897

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 23068 Minnesota

Profile Details

NPI number 1821257593
LBN Legal business name Jerrol Noller Md Ltd
DBA Doing business as
Authorized official Noller, Jerrol Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2008
Last updated Jun 6th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821257593 NPPES
Minnesota MEDICAID 774888400

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