Northrup, William Frederic

Northrup, William Frederic is an individual health care provider with primary practice located at 4770 White Bear Pkwy Lower Level, White Bear Lake MN 55110-3394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Northrup, William Frederic can be contacted via phone (651) 653-1850.

Contact Information

Primary practice address
4770 White Bear Pkwy Lower Level White Bear Lake MN 55110-3394
Phone: (651) 653-1850
Fax: (651) 426-6439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20586 Minnesota

Profile Details

NPI number 1265496343
LBN Legal business name Northrup, William Frederic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1265496343 NPPES
Minnesota Other 18-00157 MEDICA
Minnesota Other 108709 MEDICA
Minnesota Other 109263 MEDICA
Minnesota Other 536K0NO MEDICA
Minnesota Other 202741675 55110 A001 MEDICA
Minnesota Other A57110010519 MEDICA

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