Minnerath, Dale J

Minnerath, Dale J is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Minnerath, Dale J can be contacted via phone (320) 654-3630.

Contact Information

Primary practice address
1900 Centracare Cir Saint Cloud MN 56303-5000
Fax: (320) 654-3657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36914 Minnesota

Profile Details

NPI number 1891778155
LBN Legal business name Minnerath, Dale J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Nov 29th, 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 1891778155 NPPES
Other 1001398 PREFERRED ONE
Other 110412 PREFERRED ONE
Other COMP PREFERRED ONE
Other 2114043 PREFERRED ONE
Other 572105 PREFERRED ONE
Other 1202203 PREFERRED ONE
Other 51A37MI PREFERRED ONE
Other COMP PREFERRED ONE
Other HP27103 PREFERRED ONE
Other COMP PREFERRED ONE
Other 620027300 PREFERRED ONE

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