Pineda, Edgar

Pineda, Edgar is an individual health care provider with primary practice located at 1200 6Th Ave N , St Cloud MN 56303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Pineda, Edgar can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N St Cloud MN 56303
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 33935 Minnesota

Profile Details

NPI number 1811999493
LBN Legal business name Pineda, Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Dec 5th, 2011 - about 14 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 1811999493 NPPES
Minnesota MEDICAID 318202900

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