Lillegard, Joseph B

Lillegard, Joseph B is an individual health care provider with primary practice located at 2530 Chicago Ave Suite 550, Minneapolis MN 55404-4289. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Lillegard, Joseph B can be contacted via phone (612) 813-8606.

Contact Information

Primary practice address
2530 Chicago Ave Suite 550 Minneapolis MN 55404-4289
Phone: (612) 813-8606
Fax: (612) 813-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 50054 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD451384 Pennsylvania

Profile Details

NPI number 1346453644
LBN Legal business name Lillegard, Joseph B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Aug 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346453644 NPPES
Minnesota MEDICAID 016990000
Minnesota MEDICAID 35217100
Minnesota MEDICAID ENROLLED

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