Madoff, Robert David

Madoff, Robert David is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Madoff, Robert David can be contacted via phone (612) 672-7422.

Contact Information

Primary practice address
909 Fulton St Se Minneapolis MN 55455
Phone: (612) 672-7422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 25693 Minnesota

Profile Details

NPI number 1023191590
LBN Legal business name Madoff, Robert David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 23rd, 2018 - about 7 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 1023191590 NPPES
Minnesota Other 564R3MA BLUE CROSS BLUE SHIELD
Minnesota Other 100426 BLUE CROSS BLUE SHIELD
Minnesota Other 0013003 BLUE CROSS BLUE SHIELD
Minnesota Other 14-00074 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 841062300 BLUE CROSS BLUE SHIELD
Minnesota Other 24924 BLUE CROSS BLUE SHIELD
Minnesota Other 14-00004 BLUE CROSS BLUE SHIELD
Minnesota Other HP13891 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 0075089 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 0582528 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 31621700 BLUE CROSS BLUE SHIELD

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