Lock, David T
Lock, David T is an individual health care provider with primary practice located at 800 E 28Th St , Minneapolis MN 55407-3723. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Lock, David T can be contacted via phone (612) 863-4444.Contact Information
Primary practice address
800 E 28Th St
Minneapolis MN 55407-3723
Phone: (612) 863-4444
Fax: (612) 863-1169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 4301073577 | Michigan |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207PH0002X | 4301073577 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 43921 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207PH0002X | 57816 | Minnesota |
Profile Details
| NPI number | 1548278013 |
|---|---|
| LBN Legal business name | Lock, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Oct 30th, 2020 - about 4 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 | 1548278013 | NPPES |
| Michigan | Other | 930106270 | RAILROAD MEDICARE |
| Michigan | Other | DL073577 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 1548278013 | RAILROAD MEDICARE |
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