Lindstrom, Richard L

Lindstrom, Richard L is an individual health care provider with primary practice located at 9801 Dupont Ave S Suite 200, Bloomington MN 55431-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lindstrom, Richard L can be contacted via phone (952) 888-5800.

Contact Information

Primary practice address
9801 Dupont Ave S Suite 200 Bloomington MN 55431-3100
Phone: (952) 888-5800
Fax: (952) 884-2656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21444 Minnesota

Profile Details

NPI number 1740275908
LBN Legal business name Lindstrom, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Mar 25th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740275908 NPPES
Minnesota MEDICAID 995207100
Minnesota MEDICAID 30353100

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