Lowe, Nicole T

Lowe, Nicole T is an individual health care provider with primary practice located at 9855 Hospital Dr , Maple Grove MN 55369-4648. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lowe, Nicole T can be contacted via phone (763) 581-9220.

Contact Information

Primary practice address
9855 Hospital Dr Maple Grove MN 55369-4648
Phone: (763) 581-9220
Fax: (763) 581-9221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X BL6168442 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036101859 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54499 Minnesota

Profile Details

NPI number 1023014438
LBN Legal business name Lowe, Nicole T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 30th, 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 1023014438 NPPES
Illinois Other 080172806 RR MEDICARE
Illinois Other 441397 RR MEDICARE
Illinois MEDICAID 036101859 RR MEDICARE
Illinois Other 38398 RR MEDICARE
Illinois Other 0100970 RR MEDICARE
Illinois MEDICAID 1023014438 RR MEDICARE
Illinois Other 4622029 RR MEDICARE
Illinois MEDICAID 036101859-3 RR MEDICARE

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