Norberg, Jon David
Norberg, Jon David is an sole proprietor health care provider with primary practice located at 9325 Upland Ln N Ste 255 , Maple Grove MN 55369-4463. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Norberg, Jon David can be contacted via phone (763) 465-4263.Contact Information
Primary practice address
9325 Upland Ln N Ste 255
Maple Grove MN 55369-4463
Phone: (763) 465-4263
Fax: (763) 314-2026
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9161 | North Dakota |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 9161 | North Dakota |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 63419 | Minnesota |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 63419 | Minnesota |
Profile Details
NPI number | 1407850225 |
---|---|
LBN Legal business name | Norberg, Jon David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2005 |
Last updated | Dec 27th, 2022 - about 2 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 | 1407850225 | NPPES |
Minnesota | MEDICAID | 278676100 | |
Minnesota | Other | NOR24461 | |
Minnesota | MEDICAID | 12017 | |
Minnesota | Other | 63419 | |
Minnesota | Other | P00139507 | |
Minnesota | Other | 307M9NO |
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