Pietrafitta, Joseph James

Pietrafitta, Joseph James is an individual health care provider with primary practice located at 9325 Upland Ln N Suite 205, Maple Grove MN 55369-4470. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pietrafitta, Joseph James can be contacted via phone (763) 416-0676.

Contact Information

Primary practice address
9325 Upland Ln N Suite 205 Maple Grove MN 55369-4470
Phone: (763) 416-0676
Fax: (763) 416-0476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33405 Minnesota

Profile Details

NPI number 1265460117
LBN Legal business name Pietrafitta, Joseph James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 10th, 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 1265460117 NPPES
Minnesota MEDICAID 551202600

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