Podratz, Adam Wade
Podratz, Adam Wade is an sole proprietor health care provider with primary practice located at 5201 Bloomington Ave , Minneapolis MN 55417-1819. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Podratz, Adam Wade can be contacted via phone (612) 721-6233.Contact Information
Primary practice address
5201 Bloomington Ave
Minneapolis MN 55417-1819
Phone: (612) 721-6233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5409-015 | Wisconsin |
| Dental Providers / Dentist | 122300000X | D11569 | Minnesota |
Profile Details
| NPI number | 1124029913 |
|---|---|
| LBN Legal business name | Podratz, Adam Wade |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jul 30th, 2014 - about 10 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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