Mcellistrem, Edward Joseph

Mcellistrem, Edward Joseph is an individual health care provider with primary practice located at 888 Christensen Ave , West St Paul MN 55118-1633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcellistrem, Edward Joseph can be contacted via phone (651) 457-1034.

Contact Information

Primary practice address
888 Christensen Ave West St Paul MN 55118-1633
Phone: (651) 457-1034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15877 Minnesota

Profile Details

NPI number 1699350462
LBN Legal business name Mcellistrem, Edward Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2021
Last updated Mar 13th, 2021 - about 3 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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