Paulson, John Robert

Paulson, John Robert is an individual health care provider with primary practice located at 12000 Elm Creek Blvd N #250, Maple Grove MN 55369-7073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Paulson, John Robert can be contacted via phone (952) 401-8300.

Contact Information

Primary practice address
12000 Elm Creek Blvd N #250 Maple Grove MN 55369-7073
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38883 Minnesota

Profile Details

NPI number 1457322802
LBN Legal business name Paulson, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jul 9th, 2007 - about 17 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 1457322802 NPPES
Minnesota Other 111714 UCARE
Minnesota Other 1208118 UCARE
Minnesota Other 32Y76PA UCARE
Minnesota Other CP9041011314 UCARE

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