Magnuson, Martha Macdougal

Magnuson, Martha Macdougal is an individual health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Magnuson, Martha Macdougal can be contacted via phone (651) 968-5770.

Contact Information

Primary practice address
3580 Arcade St Vadnais Heights MN 55127
Phone: (651) 968-5770
Fax: (651) 968-5775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10433 Minnesota

Profile Details

NPI number 1316046931
LBN Legal business name Magnuson, Martha Macdougal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Nov 10th, 2020 - about 5 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 1316046931 NPPES
Maine MEDICAID 432035899
Maine Other 1316046931
Maine Other 010453642

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