Lundeen, James W

Lundeen, James W is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lundeen, James W can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Fax: (320) 240-2118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22199 Minnesota

Profile Details

NPI number 1629068374
LBN Legal business name Lundeen, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Nov 28th, 2011 - about 13 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 1629068374 NPPES
Other 874300200 MEDICAL ASSISTANCE
Other 872003 MEDICAL ASSISTANCE
Other 110924 MEDICAL ASSISTANCE
Other 330003541 MEDICAL ASSISTANCE
Other HP25476 MEDICAL ASSISTANCE
Other 1720106 MEDICAL ASSISTANCE
Other 2114012 MEDICAL ASSISTANCE
Other 00T47LU MEDICAL ASSISTANCE
Other 600878 MEDICAL ASSISTANCE

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