Norback, Bruce Allan

Norback, Bruce Allan is an individual health care provider with primary practice located at 4225 Golden Valley Rd , Golden Valley MN 55422-4215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Norback, Bruce Allan can be contacted via phone (763) 588-0661.

Contact Information

Primary practice address
4225 Golden Valley Rd Golden Valley MN 55422-4215
Phone: (763) 588-0661
Fax: (763) 302-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 19214 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 43746 Wisconsin

Profile Details

NPI number 1649227141
LBN Legal business name Norback, Bruce Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Mar 5th, 2019 - 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 1649227141 NPPES
Minnesota Other 130005770 RAILROAD MEDICARE
Minnesota Other 12625NO RAILROAD MEDICARE
Minnesota Other 0265012 RAILROAD MEDICARE
Minnesota MEDICAID 209383900 RAILROAD MEDICARE
Minnesota MEDICAID 30204300 RAILROAD MEDICARE
Minnesota Other 0501196 RAILROAD MEDICARE
Minnesota Other 100295C029 RAILROAD MEDICARE
Minnesota Other 22789 RAILROAD MEDICARE
Minnesota Other HP14024 RAILROAD MEDICARE

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