Meighan, Mary Ellen
Meighan, Mary Ellen is an individual health care provider with primary practice located at 1120 Wayzata Blvd E Suite 100, Wayzata MN 55391-1916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Meighan, Mary Ellen can be contacted via phone (952) 476-6733.Contact Information
Primary practice address
1120 Wayzata Blvd E Suite 100
Wayzata MN 55391-1916
Phone: (952) 476-6733
Fax: (952) 476-0084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 34897 | Minnesota |
Profile Details
| NPI number | 1447236062 |
|---|---|
| LBN Legal business name | Meighan, Mary Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447236062 | NPPES |
| Minnesota | MEDICAID | 107778300 |
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