Menghini, Fredrick A

Menghini, Fredrick A is an individual health care provider with primary practice located at 1903 S 6Th St , Brainerd MN 56401-4599. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Menghini, Fredrick A can be contacted via phone (218) 829-1728.

Contact Information

Primary practice address
1903 S 6Th St Brainerd MN 56401-4599
Fax: (218) 829-1729
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D11406 Minnesota

Profile Details

NPI number 1801876792
LBN Legal business name Menghini, Fredrick A
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 11th, 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 1801876792 NPPES
Minnesota Other 76B22-ME BLUE PLUS MNCARE
Minnesota Other 86-00244 BLUE PLUS MNCARE
Minnesota Other 86-00245 BLUE PLUS MNCARE
Minnesota Other 86-00246 BLUE PLUS MNCARE
Minnesota MEDICAID 933132800 BLUE PLUS MNCARE
Minnesota Other 850000290 BLUE PLUS MNCARE
Minnesota Other 86-00411 BLUE PLUS MNCARE
Minnesota Other 150947 BLUE PLUS MNCARE
Minnesota Other 15473 BLUE PLUS MNCARE

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