Liddicoat, John R

Liddicoat, John R is an individual health care provider with primary practice located at 7601 Northland Dr N , Minneapolis MN 55428-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Liddicoat, John R can be contacted via phone (763) 360-7961.

Contact Information

Primary practice address
7601 Northland Dr N Minneapolis MN 55428-4500
Phone: (763) 360-7961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 209670 Massachusetts

Profile Details

NPI number 1750579694
LBN Legal business name Liddicoat, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Oct 4th, 2007 - about 18 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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